Medicaid Provider Spending

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

LINCOLN COUNTY HOSPITAL DISTRICT 3

NPI: 1558309518 · DAVENPORT, WA 99122 · Family Medicine Physician · NPI assigned 06/03/2006

$4.28M
Total Medicaid Paid
35,522
Total Claims
31,877
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLACY, TYSON (CEO)
Parent OrganizationLINCOLN COUNTY HOSPITAL DISTRICT #3 / NORTH BASIN MEDICAL CLINICS
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: LACY, TYSON

ProviderCityStateTotal Paid
LINCOLN COUNTY HOSPITAL DISTRICT 3 DAVENPORT WA $4.86M
LINCOLN COUNTY HOSPITAL DISTRICT 3 REARDAN WA $1.37M
LINCOLN COUNTY HOSPITAL DISTRICT #3 WILBUR WA $350K
LINCOLN COUNTY HOSPITAL DISTRICT 3 DAVENPORT WA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,936 $628K
2019 5,849 $634K
2020 4,514 $510K
2021 4,285 $509K
2022 4,738 $588K
2023 5,069 $670K
2024 5,131 $742K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,764 16,637 $3.44M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,557 7,921 $412K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,257 5,791 $313K
90837 Psychotherapy, 53 minutes with patient 972 578 $96K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 90 90 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 297 291 $4K
90791 Psychiatric diagnostic evaluation 25 25 $3K
90686 250 246 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 30 27 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 103 $590.11
90688 45 45 $469.53
81003 39 37 $82.87
94760 91 86 $43.85