Medicaid Provider Spending

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

ASHTON MEMORIAL, INC.

NPI: 1588991566 · ASHTON, ID 83420 · Health Service Clinic/Center · NPI assigned 11/11/2009

$58K
Total Medicaid Paid
1,305
Total Claims
1,204
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialNIELSEN, SUZANNE (HR DIRECTOR)
NPI Enumeration Date11/11/2009

Related Entities

Other providers sharing the same authorized official: NIELSEN, SUZANNE

ProviderCityStateTotal Paid
ASHTON MEMORIAL, INC. ASHTON ID $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $19K
2019 428 $18K
2020 193 $9K
2021 166 $7K
2022 53 $4K
2024 17 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,110 1,021 $56K
90460 Immunization administration through 18 years of age via any route, first or only component 69 69 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23 12 $277.86
90686 64 64 $102.78
36415 Collection of venous blood by venipuncture 14 13 $26.05
90734 12 12 $0.00
90649 13 13 $0.00