Medicaid Provider Spending

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

CLEARWATER MEDICAL CENTER PLLC

NPI: 1558452268 · LEWISTON, ID 83501 · Family Medicine Physician · NPI assigned 09/27/2006

$28K
Total Medicaid Paid
1,125
Total Claims
761
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialCHAVEZ, CELSO (OWNER PHYSICIAN)
NPI Enumeration Date09/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,125 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 669 460 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 361 215 $8K
36415 Collection of venous blood by venipuncture 70 62 $105.62
80053 Comprehensive metabolic panel 12 12 $51.88
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 12 $49.94