Medicaid Provider Spending

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

CC POCATELLO LLC

NPI: 1538517156 · POCATELLO, ID 83201 · Family Medicine Physician · NPI assigned 05/25/2016

$385K
Total Medicaid Paid
6,153
Total Claims
5,845
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOLMAN, JOSHUA (CAO)
Parent OrganizationMOUNTAIN VIEW HOSPITAL LLC
NPI Enumeration Date05/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 445 $23K
2019 617 $33K
2020 974 $55K
2021 1,318 $75K
2022 1,206 $77K
2023 1,058 $77K
2024 535 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,305 2,183 $180K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,133 2,971 $160K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 624 601 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 51 51 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $524.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $135.73
81003 14 14 $25.08