Physician
Lakes Regional Healthcare
Lakes Regional Healthcare was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoLAKES REGIONAL HEALTHCARE
SPIRIT LAKE, IA 51360
SPIRIT LAKE, IA 51360
33aNPI1306100615assigned 07/02/2012
33bProvider typeFamily Medicine Physician
28Total paid$1.35M
24GClaims43,736
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#33 of 275
Median peer was paid$69K
This provider vs. median19×
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.
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 | 2,941 | $94K | |
| 2019 | 3,681 | $118K | |
| 2020 | 5,288 | $155K | |
| 2021 | 7,659 | $224K | |
| 2022 | 7,880 | $252K | |
| 2023 | 8,498 | $267K | |
| 2024incomplete | 7,789 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 25,818 | 22,385 | $828K |
| 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 | 29% | 9,601 | 8,240 | $391K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 542 | 437 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,947 | 1,842 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 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) | 1.1% | 1,429 | 1,274 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 576 | 536 | $8K |
| 90686 | <1% | 825 | 758 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,770 | 1,556 | $5K |
| 90734 | <1% | 153 | 139 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 101 | 97 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | 39 | $3K |
21 more codes
| 90651 | <1% | 45 | $2K | |
| 90620 | <1% | 32 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 27 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 171 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $994.40 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $884.96 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 44 | $618.54 |
| 90715 | <1% | 28 | $348.73 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $348.34 |
| 90656 | <1% | 46 | $308.85 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $236.16 |
| 83655 | <1% | 15 | $193.78 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $104.07 |
| 90710 | <1% | 13 | $100.95 | |
| 90723 | <1% | 31 | $70.72 | |
| 85018 | <1% | 16 | $36.36 | |
| 90672 | <1% | 14 | $23.00 | |
| 90633 | <1% | 14 | $0.03 | |
| 90647 | <1% | 28 | $0.01 | |
| 90670 | 0% | 52 | $0.00 | |
| 90681 | 0% | 16 | $0.00 |
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 officialALGER, STEVE (SR VP AND CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.