LAKE GIRL, INC
NPI: 1255730446
· HOUSE SPRINGS, MO 63051
· Primary Care Clinic/Center
· NPI assigned 08/14/2014
$236K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLER, RENEE (OWNER) |
| NPI Enumeration Date | 08/14/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
677 |
$12K |
| 2019 |
595 |
$6K |
| 2020 |
1,425 |
$30K |
| 2021 |
1,711 |
$43K |
| 2022 |
1,172 |
$48K |
| 2023 |
1,469 |
$58K |
| 2024 |
1,188 |
$40K |
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 |
2,937 |
2,445 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,028 |
1,703 |
$100K |
| 94761 |
|
2,235 |
1,744 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
920 |
805 |
$647.56 |
| 92587 |
|
58 |
51 |
$604.72 |
| 93000 |
|
18 |
15 |
$161.44 |
| 99429 |
|
12 |
12 |
$64.20 |
| 99173 |
|
29 |
26 |
$4.40 |