Physician
Pocatello Children & Adolescent Clinic
Pocatello Children & Adolescent Clinic was paid $10.97M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPOCATELLO CHILDREN & ADOLESCENT CLINIC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1700898822assigned 08/13/2006
33bProvider typePediatrics Physician
28Total paid$10.97M
24GClaims237,666
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Idaho
Rank by total paid#3 of 22
Median peer was paid$564K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2018 | 38,004 | $1.57M | |
| 2019 | 41,249 | $1.71M | |
| 2020 | 36,380 | $1.49M | |
| 2021 | 34,465 | $1.63M | |
| 2022 | 36,160 | $1.75M | |
| 2023 | 27,739 | $1.47M | |
| 2024incomplete | 23,669 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 55,756 | 53,777 | $3.72M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 15,263 | 15,194 | $1.40M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 34,165 | 33,993 | $1.37M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 16,173 | 15,693 | $1.35M |
| 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 | 8.0% | 9,192 | 8,945 | $880K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 9,723 | 9,699 | $854K |
| 90461 | 6.7% | 19,662 | 19,560 | $738K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 4,963 | 4,784 | $184K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,666 | 1,662 | $159K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 847 | 840 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,217 | 4,202 | $69K |
| 99188 | <1% | 3,419 | 3,405 | $44K |
53 more codes
| 36416 | <1% | 8,601 | $23K | |
| 90473 | <1% | 1,352 | $20K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 280 | $17K |
| 83655 | <1% | 827 | $10K | |
| 99177 | <1% | 3,174 | $7K | |
| 0071A | <1% | 147 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 348 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 129 | $4K |
| 96127 | <1% | 1,017 | $4K | |
| 0072A | <1% | 85 | $3K | |
| 99460 | <1% | 27 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 119 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 82 | $948.00 |
| 0001A | <1% | 17 | $600.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 239 | $592.10 |
| 87081 | <1% | 70 | $456.56 | |
| 96380 | <1% | 25 | $449.04 | |
| 0002A | <1% | 12 | $400.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 61 | $374.06 |
| 81001 | <1% | 87 | $263.97 | |
| 92552 | <1% | 14 | $240.00 | |
| 90686 | <1% | 9,904 | $207.43 | |
| 87420 | <1% | 18 | $200.32 | |
| 90674 | <1% | 2,601 | $109.47 | |
| 90670 | <1% | 8,482 | $81.79 | |
| 85018 | <1% | 26 | $63.36 | |
| 90648 | <1% | 6,297 | $61.71 | |
| 90672 | <1% | 4,901 | $42.31 | |
| 90723 | <1% | 3,700 | $37.74 | |
| 90633 | <1% | 1,730 | $34.93 | |
| 90651 | <1% | 381 | $28.88 | |
| 90661 | <1% | 569 | $25.20 | |
| 90697 | <1% | 1,915 | $15.82 | |
| 90688 | <1% | 1,051 | $9.60 | |
| 90677 | <1% | 698 | $6.64 | |
| 90660 | <1% | 593 | $5.12 | |
| 90671 | <1% | 513 | $4.43 | |
| 84030 | <1% | 25 | $3.22 | |
| 90734 | <1% | 231 | $1.91 | |
| 90710 | <1% | 168 | $1.44 | |
| 90681 | <1% | 959 | $1.18 | |
| 90715 | <1% | 98 | $0.80 | |
| 90619 | <1% | 71 | $0.54 | |
| 90700 | <1% | 39 | $0.36 | |
| 90716 | <1% | 26 | $0.22 | |
| 90707 | <1% | 26 | $0.18 | |
| 90685 | <1% | 13 | $0.13 | |
| 91300 | 0% | 226 | $0.00 | |
| 90380 | 0% | 14 | $0.00 | |
| 90696 | 0% | 141 | $0.00 | |
| 91307 | 0% | 422 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 53 | $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 officialPERRY, JESSICA (ADMINISTRATOR)
Parent organizationPOCATELLO CHILDREN'S CLINIC
| Provider | Location | Paid |
|---|---|---|
| Inner Healing Counseling Center | Lansing, MI | $321K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.