Medicaid Provider Spending

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

BEAR LAKE COUNTY MEMORIAL HOSPITAL

NPI: 1699057166 · MONTPELIER, ID 83254 · Family Medicine Physician · NPI assigned 09/12/2011

$895K
Total Medicaid Paid
17,198
Total Claims
15,633
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOEHME, PATSY (OFFICE MANAGER)
Parent OrganizationBEAR LAKE COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date09/12/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,347 $113K
2019 2,532 $130K
2020 2,607 $139K
2021 3,497 $185K
2022 3,385 $173K
2023 1,810 $92K
2024 1,020 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,514 9,404 $888K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,431 4,148 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,080 1,910 $3K
90472 Immunization administration, each additional vaccine (list separately) 50 50 $0.00
99215 Prolong outpt/office vis 16 14 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 14 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 93 $0.00