Medicaid Provider Spending

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

LAKESIDE FAMILY MEDICINE

NPI: 1295064178 · KINGSTON, OK 73439 · Family Medicine Physician · NPI assigned 12/23/2009

$632K
Total Medicaid Paid
10,880
Total Claims
10,160
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAHEARN, PAMELA (OWNER/PRESIDENT)
NPI Enumeration Date12/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 923 $49K
2019 795 $42K
2020 948 $49K
2021 1,407 $85K
2022 2,667 $162K
2023 2,369 $140K
2024 1,771 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,731 6,186 $448K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,252 1,218 $109K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 683 644 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 215 215 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 221 214 $6K
36415 Collection of venous blood by venipuncture 1,052 1,008 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 258 250 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 308 267 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 72 70 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 38 38 $156.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24 24 $12.09
96160 26 26 $0.00