FALL RIVER MEDICAL, PLLC
NPI: 1457698987
· REXBURG, ID 83440
· Clinic/Center
· NPI assigned 01/03/2013
$1.73M
Total Medicaid Paid
Provider Details
| Authorized Official | GILLETTE, AUSTIN (OWNER) |
| NPI Enumeration Date | 01/03/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,326 |
$172K |
| 2019 |
3,646 |
$171K |
| 2020 |
4,174 |
$212K |
| 2021 |
5,986 |
$312K |
| 2022 |
6,045 |
$348K |
| 2023 |
4,332 |
$276K |
| 2024 |
3,769 |
$242K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
20,519 |
18,800 |
$1.19M |
| 99214 |
|
2,576 |
2,366 |
$222K |
| 99203 |
|
1,152 |
1,147 |
$85K |
| 99202 |
|
1,042 |
992 |
$55K |
| 90460 |
|
984 |
964 |
$42K |
| 87635 |
|
702 |
647 |
$30K |
| 99391 |
|
297 |
259 |
$26K |
| 99393 |
|
214 |
214 |
$22K |
| 99394 |
|
105 |
105 |
$12K |
| 87804 |
|
536 |
405 |
$11K |
| 90461 |
|
259 |
255 |
$10K |
| 96372 |
|
352 |
301 |
$7K |
| 99392 |
|
66 |
66 |
$7K |
| 36415 |
|
1,198 |
1,141 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
121 |
119 |
$2K |
| 90686 |
|
282 |
280 |
$2K |
| 87880 |
|
98 |
97 |
$1K |
| 83036 |
|
120 |
116 |
$964.72 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
51 |
48 |
$877.12 |
| 81003 |
|
341 |
319 |
$726.47 |
| 80053 |
|
55 |
53 |
$552.86 |
| 0001A |
|
12 |
12 |
$480.00 |
| 90471 |
|
25 |
25 |
$435.03 |
| 0011A |
|
17 |
17 |
$413.04 |
| 85025 |
|
55 |
54 |
$409.14 |
| 80061 |
|
14 |
14 |
$170.19 |
| 90677 |
|
25 |
25 |
$0.03 |
| 90647 |
|
13 |
13 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 91300 |
|
33 |
32 |
$0.00 |