VALLEY FACIAL PLASTICS & ENT, PA
NPI: 1952441024
· LEWISTON, ID 83501
· Otolaryngology Physician
· NPI assigned 02/07/2007
$379K
Total Medicaid Paid
Provider Details
| Authorized Official | BURRY, JEFF (PRESIDENT) |
| NPI Enumeration Date | 02/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
350 |
$19K |
| 2019 |
404 |
$23K |
| 2020 |
529 |
$34K |
| 2021 |
849 |
$71K |
| 2022 |
1,037 |
$100K |
| 2023 |
783 |
$78K |
| 2024 |
572 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,003 |
1,981 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
978 |
962 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
724 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
714 |
689 |
$41K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 69210 |
|
37 |
37 |
$812.65 |
| 92567 |
|
26 |
25 |
$207.89 |