Medicaid Provider Spending

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

DIRNE HEALTH CENTERS, INC

NPI: 1487076048 · KELLOGG, ID 83837 · Social Worker · NPI assigned 01/15/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BAKER, MICHAEL controls 11+ related entities in our dataset. Read more

$6.55M
Total Medicaid Paid
85,709
Total Claims
64,045
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAKER, MICHAEL (CEO)
Parent OrganizationDIRNE HEALTH CENTERS INC
NPI Enumeration Date01/15/2014

Related Entities

Other providers sharing the same authorized official: BAKER, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,849 $476K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 39,436 24,938 $6.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,329 10,767 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,140 4,633 $45K
G0467 Federally 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 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 2,266 1,997 $14K
99307 311 166 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 702 623 $6K
90834 Psychotherapy, 45 minutes with patient 1,087 454 $6K
0001A 129 129 $5K
0002A 82 82 $3K
36415 Collection of venous blood by venipuncture 213 193 $1K
99442 688 655 $952.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 190 188 $528.01
90832 Psychotherapy, 30 minutes with patient 969 430 $257.23
80305 456 411 $185.86
36416 384 331 $74.88
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 30 $59.26
96127 977 559 $58.59
83036 Hemoglobin; glycosylated (A1C) 178 177 $57.16
90686 15 15 $50.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $20.15
3078F 4,970 4,503 $2.50
3074F 6,046 5,486 $2.50
3077F 759 672 $0.00
91300 241 221 $0.00
3725F 1,054 985 $0.00
90791 Psychiatric diagnostic evaluation 12 12 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 1,161 339 $0.00
99215 Prolong outpt/office vis 35 31 $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 30 13 $0.00
81002 15 12 $0.00
T1017 Targeted case management, each 15 minutes 22 13 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 496 303 $0.00
3079F 2,487 2,287 $0.00
1036F 148 135 $0.00
3075F 808 726 $0.00
3008F 397 365 $0.00
1034F 67 60 $0.00
3080F 442 401 $0.00
92558 12 12 $0.00
1035F 16 13 $0.00
87428 12 12 $0.00