Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLIFFORD FAMILY MEDICINE

NPI: 1396276945 · CHUBBUCK, ID 83202 · Family Medicine Physician · NPI assigned 03/24/2017

$11K
Total Medicaid Paid
239
Total Claims
212
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialCLIFFORD, KYLE (OWNER)
NPI Enumeration Date03/24/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 211 184 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $355.95
90472 Immunization administration, each additional vaccine (list separately) 13 13 $336.84