Medicaid Provider Spending

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

COMMUNITY COUNCIL OF IDAHO, INC

NPI: 1710925250 · IDAHO FALLS, ID 83404 · Family Medicine Physician · NPI assigned 06/04/2006

$3.02M
Total Medicaid Paid
30,430
Total Claims
27,644
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANTU, ARNOLD (CLINIC ADMINISTRATOR)
Parent OrganizationCOMMUNITY COUNCIL OF IDAHO, INC
NPI Enumeration Date06/04/2006

Related Entities

Other providers sharing the same authorized official: CANTU, ARNOLD

ProviderCityStateTotal Paid
COMMUNITY COUNCIL OF IDAHO INC IDAHO FALLS ID $551K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,218 $150K
2019 435 $39K
2020 2,632 $297K
2021 3,184 $357K
2022 7,804 $774K
2023 8,502 $808K
2024 5,655 $600K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,644 14,817 $3.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,358 6,898 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,370 3,178 $6K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 13 12 $953.88
36415 Collection of venous blood by venipuncture 1,967 1,905 $646.23
90837 Psychotherapy, 53 minutes with patient 530 311 $85.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $2.21
90674 12 12 $1.90
83036 Hemoglobin; glycosylated (A1C) 25 24 $0.12
99000 382 369 $0.00
85018 16 16 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 21 15 $0.00
96127 18 14 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $0.00
83655 21 21 $0.00
86328 17 16 $0.00