LOST RIVERS MEDICAL CENTER
NPI: 1427062181
· ARCO, ID 83213
· Family Medicine Physician
· NPI assigned 07/28/2006
$965K
Total Medicaid Paid
Provider Details
| Authorized Official | HUERTA, BRAD (CEO) |
| NPI Enumeration Date | 07/28/2006 |
Related Entities
Other providers sharing the same authorized official: HUERTA, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,170 |
$81K |
| 2019 |
1,155 |
$83K |
| 2020 |
1,764 |
$151K |
| 2021 |
1,780 |
$176K |
| 2022 |
1,600 |
$179K |
| 2023 |
1,511 |
$171K |
| 2024 |
968 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,834 |
6,252 |
$959K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,450 |
2,228 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
532 |
$739.94 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$635.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$85.00 |
| 91301 |
|
39 |
39 |
$0.00 |
| 0011A |
|
30 |
30 |
$0.00 |
| 0012A |
|
27 |
27 |
$0.00 |