Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BOISE › PURE HEALTHCARE OF IDAHO LLC

PURE HEALTHCARE OF IDAHO LLC

NPI: 1568005809 · BOISE, ID 83709 · Multi-Specialty Clinic/Center · NPI assigned 10/18/2019

$9K
Total Medicaid Paid
150
Total Claims
139
Beneficiaries
1
Codes Billed
2022-11
First Month
2023-12
Last Month

Provider Details

Authorized OfficialFRAGA, RACHEL (CONTRACTING MANAGER)
NPI Enumeration Date10/18/2019

Related Entities

Other providers sharing the same authorized official: FRAGA, RACHEL

ProviderCityStateTotal Paid
PURE INFUSION SUITES OF MONTANA LLC BILLINGS MT $620K
MONTANA ARTHRITIS CENTER LLC BILLINGS MT $484K
PURE HEALTHCARE OF COLORADO LLC COLORADO SPRINGS CO $90K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 29 $2K
2023 121 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 150 139 $9K