Medicaid Provider Spending

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

LEWIS COUNTY GENERAL HOSPITAL

NPI: 1568534303 · LYONS FALLS, NY 13368 · Obstetrics Physician · NPI assigned 11/15/2006

$163K
Total Medicaid Paid
2,188
Total Claims
2,067
Beneficiaries
5
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRINCES, MICHELE (COO)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 441 $35K
2019 519 $36K
2020 99 $7K
2021 175 $15K
2022 399 $30K
2023 375 $28K
2024 180 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 972 932 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,074 994 $67K
90460 Immunization administration through 18 years of age via any route, first or only component 105 104 $2K
90686 25 25 $279.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $89.01