Physician
Idaho Physical Medicine and Rehabilitation PA
Idaho Physical Medicine and Rehabilitation PA was paid $1.69M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoIDAHO PHYSICAL MEDICINE AND REHABILITATION PA
MERIDIAN, ID 83642
MERIDIAN, ID 83642
33aNPI1497711329assigned 04/20/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$1.69M
24GClaims29,260
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
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 | 4,765 | $217K | |
| 2019 | 4,381 | $196K | |
| 2020 | 4,867 | $249K | |
| 2021 | 4,460 | $260K | |
| 2022 | 4,381 | $328K | |
| 2023 | 3,512 | $243K | |
| 2024incomplete | 2,894 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 55% | 14,369 | 13,820 | $925K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 10,927 | 10,491 | $442K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 15% | 399 | 361 | $251K |
| 99442 | <1% | 377 | 364 | $16K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,470 | 1,425 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 100 | 99 | $12K |
| 64642 | <1% | 279 | 261 | $12K | |
| 80305 | <1% | 1,176 | 1,127 | $8K | |
| J0475 | Injection, baclofen, 10 mg | <1% | 12 | 12 | $6K |
| 64643 | <1% | 87 | 63 | $3K | |
| 62370 | <1% | 52 | 36 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
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 officialMECHAM, TIFFANY (ADMINISTRATOR)