PETRIE WHITE FAMILY MEDICINE OF IDAHO
NPI: 1447629555
· EMMETT, ID 83617
· Family Medicine Physician
· NPI assigned 09/18/2015
Provider Details
| Authorized Official | WHITE, RYAN (CLINIC ADMINISTRATOR) |
| NPI Enumeration Date | 09/18/2015 |
Related Entities
Other providers sharing the same authorized official: WHITE, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
159 |
$7K |
| 2019 |
301 |
$14K |
| 2020 |
120 |
$7K |
| 2021 |
460 |
$30K |
| 2022 |
276 |
$17K |
| 2023 |
180 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,266 |
1,178 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
148 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$636.57 |
| 90688 |
|
19 |
19 |
$289.08 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$24.93 |