CC Pocatello LLC

CC Pocatello LLC was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoCC POCATELLO LLC
POCATELLO, ID 83201

33aNPI1538517156assigned 05/25/2016

33bProvider typeFamily Medicine Physician

28Total paid$385K

24GClaims6,153

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#45 of 136

Median peer was paid$139K

This provider vs. median2.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	445	$23K
2019	617	$33K
2020	974	$55K
2021	1,318	$75K
2022	1,206	$77K
2023	1,058	$77K
2024incomplete	535	$44K

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	47%	2,305	2,183	$180K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	3,133	2,971	$160K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	624	601	$42K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	51	51	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	13	13	$524.91
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	12	$135.73
81003		<1%	14	14	$25.08

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 officialTOLMAN, JOSHUA (CAO)

Parent organizationMOUNTAIN VIEW HOSPITAL LLC