Medicaid Provider Spending

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

FAMILY PRACTICE BY THE LAKE LLC

NPI: 1295283810 · COEUR D ALENE, ID 83814 · Nurse Practitioner · NPI assigned 09/12/2016

$298K
Total Medicaid Paid
5,532
Total Claims
3,710
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWAGNER, JACQUELINE (OWNER)
NPI Enumeration Date09/12/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 648 $33K
2019 801 $32K
2020 986 $52K
2021 1,014 $52K
2022 984 $56K
2023 614 $39K
2024 485 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,803 3,122 $265K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 496 362 $33K
80305 45 42 $476.28
36415 Collection of venous blood by venipuncture 188 184 $426.28