Behavioral
Dirne Health Centers, INC.
Dirne Health Centers, INC. was paid $13.59M by Medicaid between Jan 2018 and Nov 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoDIRNE HEALTH CENTERS, INC.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1285686477assigned 05/16/2006
33bProvider typeCounselor
28Total paid$13.59M
24GClaims267,052
24DCodes billed82
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in Idaho
Rank by total paid#1 of 32
Median peer was paid$694K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BAKER, MICHAEL controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 73,075 | $1.23M | |
| 2019 | 36,139 | $1.32M | |
| 2020 | 22,092 | $1.59M | |
| 2021 | 48,153 | $2.67M | |
| 2022 | 37,404 | $3.26M | |
| 2023 | 32,943 | $2.13M | |
| 2024incomplete | 17,246 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 85,911 | 66,288 | $12.18M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.6% | 25,604 | 17,685 | $357K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 2.5% | 6,893 | 5,662 | $338K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 22,357 | 20,597 | $193K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 30,508 | 27,575 | $120K |
| 99336 | <1% | 4,885 | 3,225 | $82K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,787 | 4,561 | $75K |
| 99307 | <1% | 2,792 | 2,047 | $39K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,388 | 2,003 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,368 | 3,837 | $29K |
| 99349 | <1% | 1,870 | 1,240 | $22K | |
| 0002A | <1% | 528 | 527 | $20K |
70 more codes
| 0001A | <1% | 517 | $17K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,070 | $15K |
| 99335 | <1% | 1,299 | $14K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 48 | $13K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 916 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,493 | $7K |
| 80305 | <1% | 2,715 | $4K | |
| 36416 | <1% | 4,174 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,831 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 101 | $2K |
| 99442 | <1% | 543 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 805 | $949.21 |
| G0008 | Administration of influenza virus vaccine | <1% | 182 | $754.22 |
| 90686 | <1% | 274 | $690.63 | |
| 99304 | <1% | 92 | $591.89 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 308 | $493.78 |
| G0466 | Community health center visit, new patient | <1% | 190 | $484.80 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 622 | $374.47 |
| 99305 | <1% | 96 | $350.42 | |
| 99318 | <1% | 12 | $341.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 425 | $338.96 |
| 80061 | Lipid panel | <1% | 152 | $327.47 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 68 | $293.36 |
| 96127 | <1% | 3,677 | $260.99 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 162 | $145.79 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 52 | $131.43 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $119.72 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 132 | $115.68 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 64 | $104.06 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 70 | $88.10 |
| 3078F | <1% | 10,520 | $38.34 | |
| 3074F | <1% | 13,213 | $38.33 | |
| 3725F | <1% | 10,189 | $26.50 | |
| 90688 | <1% | 72 | $19.17 | |
| 99441 | <1% | 48 | $18.41 | |
| 81002 | <1% | 169 | $12.20 | |
| 3080F | <1% | 911 | $8.13 | |
| 3077F | <1% | 1,213 | $8.12 | |
| 86803 | <1% | 14 | $4.79 | |
| 92551 | <1% | 29 | $3.36 | |
| 99443 | <1% | 30 | $2.38 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 103 | $2.21 |
| 3008F | <1% | 1,042 | $2.13 | |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | <1% | 65 | $0.39 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 118 | $0.00 |
| 91300 | 0% | 366 | $0.00 | |
| 99173 | 0% | 135 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 166 | $0.00 |
| 90461 | 0% | 52 | $0.00 | |
| 99348 | 0% | 115 | $0.00 | |
| 1159F | 0% | 83 | $0.00 | |
| 1160F | 0% | 78 | $0.00 | |
| 96138 | 0% | 13 | $0.00 | |
| 90653 | 0% | 27 | $0.00 | |
| 99306 | Prolong nursin fac eval 15m | 0% | 37 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 28 | $0.00 |
| 81025 | 0% | 31 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 3079F | 0% | 5,041 | $0.00 | |
| 1126F | 0% | 220 | $0.00 | |
| 3075F | 0% | 1,202 | $0.00 | |
| 1036F | 0% | 557 | $0.00 | |
| 1035F | 0% | 58 | $0.00 | |
| 1034F | 0% | 186 | $0.00 | |
| 1125F | 0% | 112 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 104 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 579 | $0.00 |
| 3044F | 0% | 37 | $0.00 | |
| 96139 | 0% | 39 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 14 | $-162.22 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBAKER, MICHAEL (CEO)
Parent organizationDIRNE HEALTH CENTERS INC
| Provider | Location | Paid |
|---|---|---|
| Dirne Health Centers, INC. | Coeur D Alene, ID | $7.16M |
| Dirne Health Centers, INC | Kellogg, ID | $6.55M |
| Dirne Health Centers, INC. | Post Falls, ID | $6.28M |
| Dirne Health Centers, INC. | Rathdrum, ID | $3.00M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.44M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.04M |
| Dirne Health Centers INC | Coeur D Alene, ID | $870K |
| Sek Otolaryngology | Pittsburg, KS | $642K |
| Baker Foot Solutions Corp | Anderson, IN | $603K |
| Baker Chiropractic Center PSC | Louisville, KY | $389K |
| Dirne Health Centers INC | Coeur D Alene, ID | $604.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.