Clinic
Lakes Regional Healthcare
Lakes Regional Healthcare was paid $190K by Medicaid between Jan 2018 and Apr 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoLAKES REGIONAL HEALTHCARE
SPIRIT LAKE, IA 51360
SPIRIT LAKE, IA 51360
33aNPI1609121896assigned 07/13/2012
33bProvider typeClinic/Center
28Total paid$190K
24GClaims6,777
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Clinic/Center providers in Iowa
Rank by total paid#13 of 45
Median peer was paid$74K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,006 | $79K | |
| 2019 | 2,888 | $86K | |
| 2020 | 883 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 3,834 | 3,206 | $116K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 805 | 692 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 372 | 301 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 228 | 195 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 695 | 633 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 302 | 279 | $4K |
| 90651 | <1% | 36 | 35 | $1K | |
| 90686 | <1% | 243 | 192 | $988.55 | |
| 90734 | <1% | 38 | 37 | $720.45 | |
| 90715 | <1% | 16 | 15 | $241.44 | |
| 90670 | <1% | 101 | 94 | $0.09 | |
| 90647 | <1% | 12 | 12 | $0.01 |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialALGER, STEVE (SR VP AND CFO)
| Provider | Location | Paid |
|---|---|---|
| Lakes Regional Healthcare | Spirit Lake, IA | $1.35M |
| Lakes Regional Healthcare | Spirit Lake, IA | $1.03M |
| Lakes Regional Healthcare | Spirit Lake, IA | $368K |
| Lakes Regional Healthcare | Spirit Lake, IA | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.