ALI SUP, DO

Family Medicine Physician · NAMPA, ID

Individual Active NPI 1427670157

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202480189$44,354$18,077$12,883
20232228$7,316$2,926$2,337

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more86$88$65
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes26$159$126
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more20$61$40
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more19$122$57

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000XO-1580ID
Family Medicine Physician207Q00000XMRO-1938ID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Family Medicine Physician providers in Idaho

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.