Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST LUKE'S LAKESIDE HOSPITAL, LLC

NPI: 1184868879 · THE WOODLANDS, TX 77384 · Special Hospital · NPI assigned 04/24/2009

$6K
Total Medicaid Paid
41
Total Claims
39
Beneficiaries
2
Codes Billed
2022-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialLIPHAM, MARY (CHIEF FINANCIAL OFFICER)
Parent OrganizationST LUKE'S HEALTH SYSTEM,
NPI Enumeration Date04/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 41 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 29 27 $6K
36415 Collection of venous blood by venipuncture 12 12 $1.80