Medicaid Provider Spending

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

BLOOM IDAHO LLC

NPI: 1679134126 · GARDEN CITY, ID 83714 · Urgent Care Clinic/Center · NPI assigned 06/25/2019

$1.29M
Total Medicaid Paid
29,275
Total Claims
26,205
Beneficiaries
20
Codes Billed
2020-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSMITH, SPENCER (CEO)
NPI Enumeration Date06/25/2019

Related Entities

Other providers sharing the same authorized official: SMITH, SPENCER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 6,389 $257K
2021 19,062 $890K
2022 3,824 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,122 3,098 $357K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,006 6,740 $303K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,467 2,351 $223K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,604 1,596 $125K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,457 2,342 $91K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 836 792 $73K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,555 2,286 $65K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,894 1,856 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278 256 $16K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 65 65 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 46 45 $2K
36415 Collection of venous blood by venipuncture 520 508 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 43 42 $701.57
0071A 14 13 $560.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 26 $459.42
99072 1,167 1,128 $9.50
99000 2,864 2,759 $0.00
91307 28 27 $0.00
99051 257 249 $0.00
91300 26 26 $0.00