Spine Institute of Idaho P a

Spine Institute of Idaho P a was paid $550K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,189	$47K
2019	1,390	$58K
2020	2,200	$98K
2021	2,281	$103K
2022	1,948	$83K
2023	1,746	$88K
2024incomplete	1,251	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	5,309	5,043	$243K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	36%	3,032	2,887	$198K
64483		14%	467	454	$77K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	116	116	$12K
64493		<1%	29	25	$4K
62321		<1%	25	24	$4K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	71	25	$3K
72110		<1%	57	56	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,198	1,146	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$1K
20610		<1%	31	28	$895.03
95886		<1%	12	12	$642.59

3 more codes

J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	75	$601.50
99203	Doctor's office visit, new patient (routine)	<1%	13	$591.53
A4550	Surgical trays	<1%	1,558	$0.55

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOOPER, TYLER (OFFICE ASST ADMINISTRATOR)