CARIBOU MEDICAL CENTER, INC
NPI: 1548930878
· SODA SPRINGS, ID 83276
· Rural Health Clinic/Center
· NPI assigned 09/17/2021
$186K
Total Medicaid Paid
Provider Details
| Authorized Official | HENDERSON, SHERI (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 09/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
450 |
$29K |
| 2023 |
1,370 |
$106K |
| 2024 |
615 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,652 |
1,532 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
678 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
64 |
$408.24 |