Joshua R Fullmer MD PLLC

Joshua R Fullmer MD PLLC was paid $29K by Medicaid between Feb 2018 and Nov 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoJOSHUA R FULLMER MD PLLC
REXBURG, ID 83440

33aNPI1881894517assigned 07/20/2007

33bProvider typeOphthalmology Physician

28Total paid$29K

24GClaims353

24DCodes billed4

24AFirst – last monthFeb 2018 – Nov 2020

Compared with peers

Next to other Ophthalmology Physician providers in Idaho

Rank by total paid#16 of 22

Median peer was paid$43K

This provider vs. median0.7×

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	134	$8K
2019	156	$14K
2020	63	$7K

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	73%	243	235	$21K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	37	37	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.0%	61	55	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.8%	12	12	$1K

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 officialTHATCHER, SUZZETTE (BUSINESS MANAGER)