Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IDAHO PHYSICAL MEDICINE & REHABILITATION

NPI: 1497969604 · BOISE, ID 83702 · Physician Assistant · NPI assigned 05/09/2007

$2K
Total Medicaid Paid
51
Total Claims
47
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialLEE, SHARON (ADMINISTRATOR)
Parent OrganizationIDAHO PHYSICAL MEDICINE & REHABILITATION
NPI Enumeration Date05/09/2007

Related Entities

Other providers sharing the same authorized official: LEE, SHARON

ProviderCityStateTotal Paid
LONGLIFE HEALTH CARE ANNANDALE VA $4.76M
RETINA CONSULTANTS OF CAROLINA, PA GREENVILLE SC $128K
DOC SHOP, PA MISSION KS $28K
SUNSET FOCUS OPTOMETRY SAN FRANCISCO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51 47 $2K