Medicaid Provider Spending

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

PRESTON FAMILY MEDICINE

NPI: 1891406112 · PRESTON, ID 83263 · Family Medicine Physician · NPI assigned 12/07/2022

$27K
Total Medicaid Paid
299
Total Claims
261
Beneficiaries
3
Codes Billed
2023-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBONTRAGER, GORDON (OWNER)
NPI Enumeration Date12/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 102 $8K
2024 197 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 126 105 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 161 144 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K