Physician
Southeast Idaho Family Practice
Southeast Idaho Family Practice was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoSOUTHEAST IDAHO FAMILY PRACTICE
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1982759007assigned 01/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.30M
24GClaims22,284
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#23 of 136
Median peer was paid$139K
This provider vs. median9.4×
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 | 2,522 | $124K | |
| 2019 | 2,370 | $122K | |
| 2020 | 2,605 | $140K | |
| 2021 | 4,276 | $239K | |
| 2022 | 4,692 | $270K | |
| 2023 | 2,887 | $208K | |
| 2024incomplete | 2,932 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 12,361 | 11,213 | $796K |
| 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 | 32% | 4,128 | 3,859 | $417K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 419 | 419 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 323 | 315 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 632 | 600 | $11K |
| 96127 | <1% | 1,147 | 1,124 | $8K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 480 | 420 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | 92 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,106 | 1,048 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | 37 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | 108 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | 25 | $3K |
15 more codes
| 0001A | <1% | 73 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 32 | $3K |
| 90686 | <1% | 426 | $2K | |
| 0002A | <1% | 49 | $2K | |
| 90461 | <1% | 43 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 177 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 111 | $862.65 |
| 87400 | <1% | 60 | $834.62 | |
| 0003A | <1% | 19 | $760.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 41 | $447.18 |
| 90656 | <1% | 12 | $142.32 | |
| 81001 | <1% | 24 | $81.19 | |
| 91300 | 0% | 214 | $0.00 | |
| 90672 | 0% | 12 | $0.00 |
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 officialBATES, CONNIE (OFFICE MANAGER)