SHOSHONE MEDICAL CENTER
NPI: 1487272399
· KELLOGG, ID 83837
· Family Medicine Physician
· NPI assigned 07/07/2020
$672K
Total Medicaid Paid
Provider Details
| Authorized Official | ERDMAN, DONJA (CFO) |
| Parent Organization | SHOSHONE MEDICAL CENTER |
| NPI Enumeration Date | 07/07/2020 |
Related Entities
Other providers sharing the same authorized official: ERDMAN, DONJA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,062 |
$65K |
| 2022 |
3,136 |
$171K |
| 2023 |
4,962 |
$293K |
| 2024 |
2,051 |
$144K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,934 |
4,541 |
$649K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,032 |
1,841 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,926 |
1,746 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,139 |
490 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
156 |
92 |
$170.35 |
| 90832 |
Psychotherapy, 30 minutes with patient |
24 |
12 |
$31.02 |