NORTH CANYON MEDICAL CENTER, INC.
NPI: 1518377019
· GOODING, ID 83330
· Rural Health Clinic/Center
· NPI assigned 05/06/2014
$1.08M
Total Medicaid Paid
Provider Details
| Authorized Official | POWERS, TIMOTHY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | NORTH CANYON MEDICAL CENTER, INC. |
| NPI Enumeration Date | 05/06/2014 |
Related Entities
Other providers sharing the same authorized official: POWERS, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,225 |
$113K |
| 2019 |
2,913 |
$140K |
| 2020 |
3,305 |
$173K |
| 2021 |
2,824 |
$153K |
| 2022 |
3,547 |
$195K |
| 2023 |
2,931 |
$176K |
| 2024 |
1,940 |
$128K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,948 |
10,896 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,336 |
4,931 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,362 |
2,216 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$10.42 |
| 90686 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |