MOSCOW MEDICAL, P.A.
NPI: 1871646976
· MOSCOW, ID 83843
· Family Medicine Physician
· NPI assigned 01/19/2007
$578K
Total Medicaid Paid
Provider Details
| Authorized Official | CORNISH, KATHY (BILLING MANAGER) |
| NPI Enumeration Date | 01/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,682 |
$72K |
| 2019 |
1,289 |
$63K |
| 2020 |
1,085 |
$67K |
| 2021 |
1,407 |
$84K |
| 2022 |
2,258 |
$114K |
| 2023 |
1,832 |
$101K |
| 2024 |
1,342 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,208 |
6,358 |
$562K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,093 |
1,888 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,594 |
1,444 |
$6K |