SNAKE RIVER PEDIATRICS, PC
NPI: 1720489396
· FRUITLAND, ID 83619
· 261QP2300X
$3.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
11,526 |
$575K |
| 2019 |
16,924 |
$900K |
| 2020 |
16,008 |
$800K |
| 2021 |
16,914 |
$199K |
| 2022 |
15,394 |
$101K |
| 2023 |
16,348 |
$199K |
| 2024 |
21,033 |
$410K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
14,041 |
13,104 |
$927K |
| T1015 |
Clinic service |
6,058 |
3,087 |
$880K |
| 99213 |
|
24,052 |
22,871 |
$781K |
| 99392 |
|
2,814 |
2,778 |
$115K |
| 96110 |
|
11,401 |
9,283 |
$79K |
| 90686 |
|
4,331 |
4,287 |
$73K |
| 99391 |
|
1,013 |
987 |
$53K |
| 90832 |
|
4,047 |
2,059 |
$46K |
| 96127 |
|
10,180 |
5,318 |
$33K |
| 99212 |
|
1,827 |
1,787 |
$22K |
| 99393 |
|
548 |
547 |
$21K |
| 99177 |
|
13,354 |
13,094 |
$19K |
| 92587 |
|
1,728 |
1,697 |
$16K |
| 90471 |
|
480 |
475 |
$15K |
| 92551 |
|
3,231 |
3,185 |
$11K |
| 87428 |
|
320 |
317 |
$11K |
| 99394 |
|
162 |
158 |
$9K |
| 96160 |
|
2,637 |
2,131 |
$8K |
| 87880 |
|
1,032 |
1,011 |
$8K |
| 90670 |
|
350 |
337 |
$7K |
| D1206 |
|
442 |
421 |
$6K |
| 87426 |
|
1,018 |
999 |
$5K |
| 90658 |
|
340 |
339 |
$5K |
| 87804 |
|
453 |
448 |
$5K |
| 99238 |
|
42 |
39 |
$3K |
| 99460 |
|
32 |
30 |
$3K |
| 90648 |
|
123 |
121 |
$2K |
| 90672 |
|
146 |
145 |
$2K |
| 99188 |
|
638 |
630 |
$2K |
| 90677 |
|
122 |
122 |
$2K |
| 90834 |
|
522 |
272 |
$2K |
| 90680 |
|
89 |
89 |
$2K |
| 0072A |
|
39 |
39 |
$1K |
| 90723 |
|
65 |
65 |
$1K |
| 0001A |
|
25 |
25 |
$1K |
| 87811 |
|
23 |
23 |
$782.10 |
| 90734 |
|
37 |
37 |
$724.68 |
| 83655 |
|
146 |
145 |
$632.97 |
| 90633 |
|
27 |
27 |
$505.08 |
| 0002A |
|
12 |
12 |
$480.00 |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$466.23 |
| 90651 |
|
26 |
24 |
$461.16 |
| 0071A |
|
12 |
12 |
$414.00 |
| 90660 |
|
32 |
32 |
$307.44 |
| 90685 |
|
13 |
12 |
$241.56 |
| 85018 |
|
214 |
211 |
$241.20 |
| 90710 |
|
12 |
12 |
$197.64 |
| 90791 |
|
33 |
33 |
$155.41 |
| 94760 |
|
605 |
576 |
$3.20 |
| 99072 |
|
4,814 |
4,489 |
$1.75 |
| 91300 |
|
253 |
247 |
$0.00 |
| 90837 |
|
136 |
63 |
$0.00 |
| 90846 |
|
34 |
29 |
$0.00 |