SPINE INSTITUTE OF IDAHO P A
NPI: 1659380269
· MERIDIAN, ID 83642
· 207XS0117X
$550K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
1,251 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,309 |
5,043 |
$243K |
| 99214 |
|
3,032 |
2,887 |
$198K |
| 64483 |
|
467 |
454 |
$77K |
| 99204 |
|
116 |
116 |
$12K |
| 64493 |
|
29 |
25 |
$4K |
| 62321 |
|
25 |
24 |
$4K |
| 97110 |
|
71 |
25 |
$3K |
| 72110 |
|
57 |
56 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,198 |
1,146 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 20610 |
|
31 |
28 |
$895.03 |
| 95886 |
|
12 |
12 |
$642.59 |
| J3301 |
Triamcinolone acet inj nos |
75 |
69 |
$601.50 |
| 99203 |
|
13 |
13 |
$591.53 |
| A4550 |
Surgical trays |
1,558 |
1,477 |
$0.55 |