MOUNTAIN VIEW HOSPITAL LLC
NPI: 1699141150
· POCATELLO, ID 83201
· 208VP0000X
$1.72M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,821 |
$104K |
| 2019 |
2,215 |
$119K |
| 2020 |
2,567 |
$172K |
| 2021 |
3,464 |
$252K |
| 2022 |
4,524 |
$357K |
| 2023 |
4,295 |
$380K |
| 2024 |
3,790 |
$340K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
19,481 |
18,444 |
$1.54M |
| 99213 |
|
2,991 |
2,802 |
$130K |
| 99204 |
|
225 |
224 |
$28K |
| 20553 |
|
739 |
671 |
$27K |
| 99203 |
|
12 |
12 |
$1K |
| J3490 |
Drugs unclassified injection |
215 |
156 |
$27.69 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.25 |