PRIMARY CARE SPECIALISTS, PA
NPI: 1508875881
· POCATELLO, ID 83201
· Primary Care Clinic/Center
· NPI assigned 08/05/2006
$343K
Total Medicaid Paid
Provider Details
| Authorized Official | MANSFIELD, MARK (PRESIDENT) |
| NPI Enumeration Date | 08/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
957 |
$60K |
| 2022 |
1,814 |
$139K |
| 2023 |
1,089 |
$94K |
| 2024 |
633 |
$49K |
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 |
2,921 |
2,659 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,486 |
1,377 |
$93K |
| 87428 |
|
41 |
41 |
$2K |
| 90688 |
|
18 |
17 |
$273.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$177.16 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$72.05 |