OUR LADY OF LOURDES HEALTH CENTER
NPI: 1104093368
· PASCO, WA 99301
· 261QU0200X
$226K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,015 |
$226K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,713 |
1,631 |
$113K |
| 99213 |
|
1,535 |
1,489 |
$74K |
| 99284 |
|
286 |
281 |
$19K |
| 99283 |
|
275 |
275 |
$10K |
| 99203 |
|
97 |
92 |
$6K |
| 99202 |
|
93 |
91 |
$5K |
| A9150 |
Misc/exper non-prescript dru |
16 |
16 |
$0.40 |