WILD IRIS LLC
NPI: 1003244211
· WASILLA, AK 99654
· Family Medicine Physician
· NPI assigned 10/25/2013
$284K
Total Medicaid Paid
Provider Details
| Authorized Official | HARRISON, LISA (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 10/25/2013 |
Related Entities
Other providers sharing the same authorized official: HARRISON, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
464 |
$48K |
| 2019 |
608 |
$62K |
| 2020 |
400 |
$44K |
| 2021 |
351 |
$36K |
| 2022 |
338 |
$36K |
| 2023 |
254 |
$28K |
| 2024 |
246 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,657 |
1,305 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
849 |
668 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
39 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
66 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |