Physician
Idaho Allergy L.L.C.
Idaho Allergy L.L.C. was paid $7K by Medicaid between Feb 2018 and Mar 2023, across 1 billing code. Its largest line is 95117, — 100% of everything it billed.
33Billing provider infoIDAHO ALLERGY L.L.C.
EAGLE, ID 83616
EAGLE, ID 83616
33aNPI1477866606assigned 07/16/2010
33bProvider typeAllergy Physician
28Total paid$7K
24GClaims1,111
24DCodes billed1
24AFirst – last monthFeb 2018 – Mar 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 200 | $2K | |
| 2020 | 39 | $205.90 | |
| 2021 | 430 | $3K | |
| 2022 | 353 | $2K | |
| 2023 | 89 | $691.53 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95117 | 100% | 1,111 | 487 | $7K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFRITZ, STEPHEN (PRESIDENT)