Medicaid Provider Spending

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

CARIBOU MEDICAL CENTER, INC

NPI: 1285970582 · SODA SPRINGS, ID 83276 · Multi-Specialty Clinic/Center · NPI assigned 12/14/2012

$47K
Total Medicaid Paid
820
Total Claims
779
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHOMAS, CHRISTINA (CEO)
NPI Enumeration Date12/14/2012

Related Entities

Other providers sharing the same authorized official: THOMAS, CHRISTINA

ProviderCityStateTotal Paid
PRECISION OPTICAL OF HAMMOND, INC. AMITE LA $314K
CARIBOU MEDICAL CENTER, INC SODA SPRINGS ID $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77 $3K
2019 183 $8K
2020 59 $3K
2021 189 $11K
2022 244 $16K
2023 31 $3K
2024 37 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 625 593 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 129 120 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26 26 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $540.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $231.48
90688 15 15 $64.24