LINCOLN COUNTY HOSPITAL DISTRICT 3
NPI: 1053527853
· DAVENPORT, WA 99122
· Surgery Physician
· NPI assigned 05/16/2007
Provider Details
| Authorized Official | LACY, TYSON (CFO) |
| NPI Enumeration Date | 05/16/2007 |
Related Entities
Other providers sharing the same authorized official: LACY, TYSON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
117 |
$5K |
| 2021 |
111 |
$6K |
| 2022 |
43 |
$3K |
| 2023 |
15 |
$798.26 |
| 2024 |
26 |
$2K |
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 |
159 |
149 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
104 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$802.84 |
| 90686 |
|
34 |
34 |
$467.70 |