Medicaid Provider Spending

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

GUSTAVEL ORTHOPEDICS PLLC

NPI: 1861961732 · BOISE, ID 83702 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 11/20/2018

$861.41
Total Medicaid Paid
15
Total Claims
14
Beneficiaries
1
Codes Billed
2020-06
First Month
2020-06
Last Month

Provider Details

Authorized OfficialYOUNG, CINDY (MANAGER)
NPI Enumeration Date11/20/2018

Related Entities

Other providers sharing the same authorized official: YOUNG, CINDY

ProviderCityStateTotal Paid
SURGERY CENTER OF FARMINGTON, L.L.C. FARMINGTON MO $263K
ALL CHILDREN'S THERAPY, INC LITTLE ROCK AR $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $861.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $861.41