IDAHO FALLS INFECTIOUS DISEASES, PLLC
NPI: 1588672026
· IDAHO FALLS, ID 83404
· Infectious Disease Physician
· NPI assigned 08/03/2006
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | BUITRAGO, MARTHA (PARTNER/PHYSICIAN) |
| NPI Enumeration Date | 08/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
77 |
$2K |
| 2019 |
147 |
$5K |
| 2020 |
250 |
$12K |
| 2021 |
285 |
$14K |
| 2022 |
395 |
$26K |
| 2023 |
274 |
$22K |
| 2024 |
346 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,075 |
637 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
699 |
403 |
$30K |