CARIBOU MEMORIAL HOSPITAL
NPI: 1154524403
· SODA SPRINGS, ID 83276
· Rural Health Clinic/Center
· NPI assigned 06/06/2007
$564K
Total Medicaid Paid
Provider Details
| Authorized Official | HOOPES, JOHN (CEO) |
| NPI Enumeration Date | 06/06/2007 |
Related Entities
Other providers sharing the same authorized official: HOOPES, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,834 |
$107K |
| 2019 |
1,598 |
$98K |
| 2020 |
1,866 |
$115K |
| 2021 |
2,018 |
$143K |
| 2022 |
1,412 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,738 |
5,236 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,423 |
2,252 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
223 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
326 |
308 |
$2K |