Physician
Sandpoint Family Medicine PA
Sandpoint Family Medicine PA was paid $509K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoSANDPOINT FAMILY MEDICINE PA
SANDPOINT, ID 83864
SANDPOINT, ID 83864
33aNPI1740493832assigned 05/07/2007
33bProvider typeFamily Medicine Physician
28Total paid$509K
24GClaims12,768
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#38 of 136
Median peer was paid$139K
This provider vs. median3.7×
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 | 1,388 | $40K | |
| 2019 | 1,056 | $27K | |
| 2020 | 2,108 | $66K | |
| 2021 | 3,918 | $183K | |
| 2022 | 2,141 | $99K | |
| 2023 | 1,231 | $49K | |
| 2024incomplete | 926 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 4,330 | 3,815 | $311K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 9.7% | 401 | 382 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 781 | 708 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 262 | 257 | $21K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.9% | 1,119 | 971 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 402 | 371 | $16K |
| 87428 | 3.0% | 286 | 271 | $15K | |
| 99490 | Ccm add 20min | 1.6% | 1,636 | 1,607 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 56 | 56 | $7K |
| 80305 | 1.1% | 693 | 624 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,736 | 1,656 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 41 | 39 | $4K |
13 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 94 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 115 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 121 | $2K |
| 81000 | <1% | 387 | $1K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 22 | $950.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $877.42 |
| 93000 | <1% | 92 | $762.91 | |
| 0031A | <1% | 22 | $720.00 | |
| 94010 | <1% | 12 | $205.15 | |
| 87632 | <1% | 26 | $200.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 55 | $0.00 |
| 87631 | 0% | 26 | $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 officialRUST, ROBERT (PRESIDENT)