Medicaid Provider Spending

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

POCATELLO WELLNESS CLINIC, LLC

NPI: 1437615952 · POCATELLO, ID 83201 · Family Nurse Practitioner · NPI assigned 02/20/2019

$5K
Total Medicaid Paid
108
Total Claims
94
Beneficiaries
1
Codes Billed
2021-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialRENO, DUSTIN (OWNER)
NPI Enumeration Date02/20/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 33 $2K
2022 75 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108 94 $5K