PAIN MANAGEMENT OF NORTH IDAHO, PLLC
NPI: 1467583153
· COEUR D ALENE, ID 83814
· Interventional Pain Medicine Physician
· NPI assigned 03/07/2007
$257K
Total Medicaid Paid
Provider Details
| Authorized Official | BOTAI, TINA (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 03/07/2007 |
Related Entities
Other providers sharing the same authorized official: BOTAI, TINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
290 |
$7K |
| 2019 |
390 |
$10K |
| 2020 |
1,466 |
$40K |
| 2021 |
1,537 |
$49K |
| 2022 |
1,718 |
$57K |
| 2023 |
1,309 |
$50K |
| 2024 |
911 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,788 |
3,543 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,391 |
1,325 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
102 |
$8K |
| 96127 |
|
2,297 |
2,191 |
$6K |
| 27096 |
|
12 |
12 |
$814.57 |
| 99152 |
|
29 |
27 |
$724.94 |