Medicaid Provider Spending

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

EAST FALLS FAMILY MEDICINE, LLC

NPI: 1619221405 · IDAHO FALLS, ID 83404 · Family Medicine Physician · NPI assigned 11/01/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$1.05M
Total Medicaid Paid
18,678
Total Claims
17,034
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VP)
NPI Enumeration Date11/01/2012

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,563 $111K
2019 1,932 $100K
2020 3,599 $196K
2021 3,329 $189K
2022 3,166 $198K
2023 2,389 $155K
2024 1,700 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99222 Initial hospital care, per day, moderate complexity 3,308 3,144 $307K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,697 5,153 $302K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,616 3,266 $255K
99221 975 962 $68K
99232 Subsequent hospital care, per day, moderate complexity 1,064 789 $53K
99223 Prolong inpt eval add15 m 269 256 $39K
99231 Subsequent hospital care, per day, straightforward or low complexity 722 584 $20K
36415 Collection of venous blood by venipuncture 1,381 1,320 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 178 173 $3K
90686 170 165 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $1K
99233 Prolong inpt eval add15 m 12 12 $817.11
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 25 $203.20
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 162 159 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 237 230 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 844 781 $0.00