Medicaid Provider Spending

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

LAKES REGIONAL HEALTHCARE

NPI: 1306100615 · SPIRIT LAKE, IA 51360 · Family Medicine Physician · NPI assigned 07/02/2012

$1.35M
Total Medicaid Paid
43,736
Total Claims
38,178
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALGER, STEVE (SR VP AND CFO)
NPI Enumeration Date07/02/2012

Related Entities

Other providers sharing the same authorized official: ALGER, STEVE

ProviderCityStateTotal Paid
LAKES REGIONAL HEALTHCARE SPIRIT LAKE IA $1.03M
LAKES REGIONAL HEALTHCARE SPIRIT LAKE IA $368K
LAKES REGIONAL HEALTHCARE SPIRIT LAKE IA $190K
LAKES REGIONAL HEALTHCARE SPIRIT LAKE IA $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,941 $94K
2019 3,681 $118K
2020 5,288 $155K
2021 7,659 $224K
2022 7,880 $252K
2023 8,498 $267K
2024 7,789 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,818 22,385 $828K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,601 8,240 $391K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 542 437 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,947 1,842 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 250 230 $18K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,429 1,274 $15K
90472 Immunization administration, each additional vaccine (list separately) 576 536 $8K
90686 825 758 $8K
36415 Collection of venous blood by venipuncture 1,770 1,556 $5K
90734 153 139 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 101 97 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 47 39 $3K
90651 45 40 $2K
90620 32 28 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27 26 $1K
99308 Subsequent nursing facility care, per day, straightforward 171 168 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $994.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 33 $884.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 42 $618.54
90715 28 28 $348.73
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $348.34
90656 46 46 $308.85
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $236.16
83655 15 12 $193.78
83036 Hemoglobin; glycosylated (A1C) 12 12 $104.07
90710 13 12 $100.95
90723 31 30 $70.72
85018 16 12 $36.36
90672 14 12 $23.00
90633 14 14 $0.03
90647 28 25 $0.01
90670 52 51 $0.00
90681 16 15 $0.00