Medicaid Provider Spending

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

FALL RIVER MEDICAL, PLLC

NPI: 1457698987 · REXBURG, ID 83440 · Clinic/Center · NPI assigned 01/03/2013

$1.73M
Total Medicaid Paid
31,278
Total Claims
28,900
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLETTE, AUSTIN (OWNER)
NPI Enumeration Date01/03/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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