Medicaid Provider Spending

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

BLOOM IDAHO LLC

NPI: 1780291088 · NAMPA, ID 83651 · Urgent Care Clinic/Center · NPI assigned 09/30/2020

$77K
Total Medicaid Paid
1,523
Total Claims
1,292
Beneficiaries
9
Codes Billed
2022-05
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSMITH, SPENCER (CEO)
NPI Enumeration Date09/30/2020

Related Entities

Other providers sharing the same authorized official: SMITH, SPENCER

ProviderCityStateTotal Paid
BLOOM NEW MEXICO LLC FARMINGTON NM $7.92M
BLOOM IDAHO LLC GARDEN CITY ID $1.29M
BLOOM COLORADO LLC CORTEZ CO $547K
BENCHMARK DENTAL, PC RIVERTON WY $259K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,290 $58K
2023 233 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 254 249 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 323 321 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 104 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 108 103 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 117 113 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 420 207 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 166 165 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 18 18 $670.32
81003 12 12 $22.61