PAGE FAMILY MEDICINE
NPI: 1487151882
· BURLEY, ID 83318
· Family Medicine Physician
· NPI assigned 04/11/2018
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYMORE, JEREMY (MEDICAL DIRECTOR) |
| Parent Organization | PHYSICIANS IMMEDIATE CARE OF TWIN FALLS |
| NPI Enumeration Date | 04/11/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
428 |
$24K |
| 2020 |
498 |
$30K |
| 2021 |
788 |
$47K |
| 2022 |
470 |
$27K |
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 |
1,356 |
1,160 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
768 |
677 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$606.48 |
| 80305 |
|
46 |
45 |
$441.35 |