Medicaid Provider Spending

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

AUTUMN LEAVES PSYCHIATRY, PLLC

NPI: 1396326096 · IDAHO FALLS, ID 83404 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/15/2021

$69K
Total Medicaid Paid
901
Total Claims
363
Beneficiaries
2
Codes Billed
2023-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialRICKLEFS, MERJURIE (PSYCHIATRIC NURSE PRACTITIONER)
NPI Enumeration Date04/15/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 768 $58K
2024 133 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 871 335 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 28 $2K