STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
NPI: 1538225545
· BLACKFOOT, ID 83221
· Clinic/Center
· NPI assigned 12/28/2006
$162K
Total Medicaid Paid
Provider Details
| Authorized Official | SHIELDS, LYNN (PATIENT ACCOUNTS SPECIALIST) |
| Parent Organization | STATE HOSPITAL SOUTH |
| NPI Enumeration Date | 12/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
840 |
$22K |
| 2019 |
883 |
$21K |
| 2020 |
1,468 |
$48K |
| 2021 |
1,147 |
$34K |
| 2022 |
676 |
$20K |
| 2023 |
360 |
$11K |
| 2024 |
114 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99221 |
|
1,167 |
1,137 |
$72K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,309 |
979 |
$40K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,248 |
970 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
476 |
347 |
$7K |
| 99307 |
|
546 |
415 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
742 |
711 |
$4K |