Behavioral
Dirne Health Centers, INC
Dirne Health Centers, INC was paid $6.55M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoDIRNE HEALTH CENTERS, INC
KELLOGG, ID 83837
KELLOGG, ID 83837
33aNPI1487076048assigned 01/15/2014
33bProvider typeSocial Worker
28Total paid$6.55M
24GClaims85,709
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Social Worker providers in Idaho
Rank by total paid#1 of 37
Median peer was paid$55K
This provider vs. median118×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BAKER, MICHAEL controls 11+ related entities in our dataset. Read more
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 | 13,500 | $824K | |
| 2019 | 10,740 | $839K | |
| 2020 | 10,229 | $972K | |
| 2021 | 13,505 | $733K | |
| 2022 | 18,818 | $1.69M | |
| 2023 | 12,068 | $1.01M | |
| 2024incomplete | 6,849 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 39,436 | 24,938 | $6.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12,329 | 10,767 | $53K |
| 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 | <1% | 5,140 | 4,633 | $45K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 879 | 653 | $18K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 2,266 | 1,997 | $14K |
| 99307 | <1% | 311 | 166 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 702 | 623 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,087 | 454 | $6K |
| 0001A | <1% | 129 | 129 | $5K | |
| 0002A | <1% | 82 | 82 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 213 | 193 | $1K |
| 99442 | <1% | 688 | 655 | $952.37 |
30 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 190 | $528.01 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 969 | $257.23 |
| 80305 | <1% | 456 | $185.86 | |
| 36416 | <1% | 384 | $74.88 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $59.26 |
| 96127 | <1% | 977 | $58.59 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 178 | $57.16 |
| 90686 | <1% | 15 | $50.54 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $20.15 |
| 3078F | <1% | 4,970 | $2.50 | |
| 3074F | <1% | 6,046 | $2.50 | |
| 3077F | 0% | 759 | $0.00 | |
| 91300 | 0% | 241 | $0.00 | |
| 3725F | 0% | 1,054 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 1,161 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 35 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 30 | $0.00 |
| 81002 | 0% | 15 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 22 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 496 | $0.00 |
| 3079F | 0% | 2,487 | $0.00 | |
| 1036F | 0% | 148 | $0.00 | |
| 3075F | 0% | 808 | $0.00 | |
| 3008F | 0% | 397 | $0.00 | |
| 1034F | 0% | 67 | $0.00 | |
| 3080F | 0% | 442 | $0.00 | |
| 92558 | 0% | 12 | $0.00 | |
| 1035F | 0% | 16 | $0.00 | |
| 87428 | 0% | 12 | $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 officialBAKER, MICHAEL (CEO)
Parent organizationDIRNE HEALTH CENTERS INC
| Provider | Location | Paid |
|---|---|---|
| Dirne Health Centers, INC. | Coeur D Alene, ID | $13.59M |
| Dirne Health Centers, INC. | Coeur D Alene, ID | $7.16M |
| Dirne Health Centers, INC. | Post Falls, ID | $6.28M |
| Dirne Health Centers, INC. | Rathdrum, ID | $3.00M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.44M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.04M |
| Dirne Health Centers INC | Coeur D Alene, ID | $870K |
| Sek Otolaryngology | Pittsburg, KS | $642K |
| Baker Foot Solutions Corp | Anderson, IN | $603K |
| Baker Chiropractic Center PSC | Louisville, KY | $389K |
| Dirne Health Centers INC | Coeur D Alene, ID | $604.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.