MOUNTAIN CREST FOOT AND ANKLE PA
NPI: 1932191996
· IDAHO FALLS, ID 83404
· Podiatrist
· NPI assigned 08/16/2005
Provider Details
| Authorized Official | BLACK, TIMOTHY (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 08/16/2005 |
Related Entities
Other providers sharing the same authorized official: BLACK, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
644 |
$10K |
| 2019 |
470 |
$7K |
| 2020 |
345 |
$6K |
| 2021 |
208 |
$5K |
| 2022 |
348 |
$14K |
| 2023 |
209 |
$5K |
| 2024 |
190 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
798 |
718 |
$22K |
| 11721 |
|
1,419 |
1,268 |
$16K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
26 |
13 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
97 |
$5K |
| 73630 |
|
65 |
42 |
$1K |