Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON

NPI: 1396937769 · CUSICK, WA 99119 · Health Service Clinic/Center · NPI assigned 08/09/2007

$6.43M
Total Medicaid Paid
24,731
Total Claims
20,088
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKERSTING, CLAYTON (DIRECTOR OF MEDICAL SERVICES)
NPI Enumeration Date08/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,292 $426K
2019 1,981 $333K
2020 2,739 $466K
2021 4,485 $913K
2022 5,027 $1.45M
2023 4,967 $1.63M
2024 3,240 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,676 10,456 $6.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,191 3,551 $164K
D0140 Limited oral evaluation - problem focused 1,485 1,345 $38K
D1110 Prophylaxis - adult 590 573 $26K
D0120 Periodic oral evaluation - established patient 612 593 $17K
D0150 Comprehensive oral evaluation - new or established patient 480 461 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 218 188 $10K
D0220 Intraoral - periapical first radiographic image 1,009 957 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 333 116 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 111 81 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 562 466 $6K
D0274 Bitewings - four radiographic images 435 422 $6K
D7140 Extraction, erupted tooth or exposed root 113 79 $5K
D0210 Intraoral - complete series of radiographic images 73 67 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 117 101 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 144 134 $2K
D1206 Topical application of fluoride varnish 155 148 $2K
D1120 Prophylaxis - child 100 96 $2K
99215 Prolong outpt/office vis 31 27 $2K
98942 56 37 $735.46
36415 Collection of venous blood by venipuncture 147 141 $460.38
97113 23 12 $433.20
D0230 Intraoral - periapical each additional radiographic image 70 37 $97.65