CASCADE MEDICAL CENTER HOSPITAL DISTRICT
NPI: 1003988825
· CASCADE, ID 83611
· Rural Health Clinic/Center
· NPI assigned 11/15/2006
$402K
Total Medicaid Paid
Provider Details
| Authorized Official | HASBROUCK, SARAH (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: HASBROUCK, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
968 |
$63K |
| 2019 |
973 |
$68K |
| 2020 |
599 |
$51K |
| 2021 |
685 |
$71K |
| 2022 |
563 |
$67K |
| 2023 |
656 |
$61K |
| 2024 |
154 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,406 |
3,045 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
691 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
142 |
$701.84 |
| 99215 |
Prolong outpt/office vis |
34 |
27 |
$124.10 |
| 0013A |
|
12 |
12 |
$40.00 |
| 90686 |
|
19 |
19 |
$21.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$21.40 |
| 91301 |
|
38 |
38 |
$0.00 |
| 0011A |
|
30 |
30 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 0012A |
|
26 |
26 |
$0.00 |
| 3008F |
|
14 |
13 |
$0.00 |
| 1160F |
|
30 |
25 |
$0.00 |
| 1159F |
|
30 |
25 |
$0.00 |