Medicaid Provider Spending

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

4 PILLARS OF SUCCESS LLC

NPI: 1457698565 · AMMON, ID 83406 · Clinic/Center · NPI assigned 01/09/2013

$697K
Total Medicaid Paid
15,213
Total Claims
12,019
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialECHI-ABOLI, DEMI (BILLING DEPARTMENT DIRECTOR)
NPI Enumeration Date01/09/2013

Related Entities

Other providers sharing the same authorized official: ECHI-ABOLI, DEMI

ProviderCityStateTotal Paid
4 PILLARS OF SUCCESS LLC AMMON ID $8.01M
4 PILLARS OF SUCCESS LLC AMMON ID $3.34M
BADGER INC. IDAHO FALLS ID $396K
BEHAVIORAL ENHANCEMENT SERVICES & TREATMENT LLC POCATELLO ID $311K
BEHAVIORAL ENHANCEMENT SERVICES & TREATMENT LLC POCATELLO ID $162K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,320 $23K
2019 1,434 $30K
2020 1,583 $43K
2021 2,340 $112K
2022 3,403 $188K
2023 3,106 $205K
2024 2,027 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,383 4,013 $269K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,464 656 $132K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,338 908 $130K
99215 Prolong outpt/office vis 1,267 1,189 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 821 771 $36K
36415 Collection of venous blood by venipuncture 2,412 2,178 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,168 1,068 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 423 392 $4K
90656 340 331 $4K
83036 Hemoglobin; glycosylated (A1C) 140 139 $1K
96159 26 12 $976.45
80305 110 103 $784.45
81003 184 173 $298.11
96158 26 12 $240.00
93000 12 12 $109.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 14 $52.72
80306 80 48 $46.29