Medicaid Provider Spending

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

MOUNTAIN CREST FOOT AND ANKLE PA

NPI: 1932191996 · IDAHO FALLS, ID 83404 · Podiatrist · NPI assigned 08/16/2005

$50K
Total Medicaid Paid
2,414
Total Claims
2,138
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBLACK, TIMOTHY (OWNER/PHYSICIAN)
NPI Enumeration Date08/16/2005

Related Entities

Other providers sharing the same authorized official: BLACK, TIMOTHY

ProviderCityStateTotal Paid
CITY OF MACEDONIA MACEDONIA OH $252K
TRANSICARE, INC. DALLAS TX $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 644 $10K
2019 470 $7K
2020 345 $6K
2021 208 $5K
2022 348 $14K
2023 209 $5K
2024 190 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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