Clinic
Bloom Idaho LLC
Bloom Idaho LLC was paid $1.29M by Medicaid between Jan 2020 and Apr 2022, across 20 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 28% of everything it billed.
33Billing provider infoBLOOM IDAHO LLC
GARDEN CITY, ID 83714
GARDEN CITY, ID 83714
33aNPI1679134126assigned 06/25/2019
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.29M
24GClaims29,275
24DCodes billed20
24AFirst – last monthJan 2020 – Apr 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in Idaho
Rank by total paid#5 of 16
Median peer was paid$394K
This provider vs. median3.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2020 | 6,389 | $257K | |
| 2021 | 19,062 | $890K | |
| 2022 | 3,824 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 3,122 | 3,098 | $357K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 24% | 7,006 | 6,740 | $303K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 17% | 2,467 | 2,351 | $223K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.7% | 1,604 | 1,596 | $125K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.1% | 2,457 | 2,342 | $91K |
| 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 | 5.7% | 836 | 792 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.1% | 4,555 | 2,286 | $65K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 1,894 | 1,856 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 278 | 256 | $16K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 65 | 65 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 46 | 45 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 520 | 508 | $1K |
8 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 43 | $701.57 |
| 0071A | <1% | 14 | $560.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $459.42 |
| 99072 | <1% | 1,167 | $9.50 | |
| 99000 | 0% | 2,864 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| 99051 | 0% | 257 | $0.00 | |
| 91300 | 0% | 26 | $0.00 |
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 officialSMITH, SPENCER (CEO)
| Provider | Location | Paid |
|---|---|---|
| Bloom New Mexico LLC | Farmington, NM | $7.92M |
| Bloom Colorado LLC | Cortez, CO | $547K |
| Benchmark Dental, PC | Riverton, WY | $259K |
| Bloom Idaho LLC | Nampa, ID | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.