LAKESIDE ORTHOPEDIC INSTITUTE LLC
NPI: 1679764229
· LAKE HAVASU CITY, AZ 86403
· 208VP0014X
$1.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
697 |
$16K |
| 2019 |
2,271 |
$96K |
| 2020 |
2,964 |
$139K |
| 2021 |
5,792 |
$323K |
| 2022 |
7,672 |
$452K |
| 2023 |
11,462 |
$545K |
| 2024 |
7,972 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
10,625 |
9,918 |
$666K |
| 99213 |
|
6,580 |
5,871 |
$339K |
| 97110 |
|
6,039 |
2,081 |
$328K |
| 99204 |
|
1,818 |
1,780 |
$185K |
| 99203 |
|
1,805 |
1,719 |
$127K |
| 73630 |
|
3,695 |
3,088 |
$111K |
| 73610 |
|
1,088 |
880 |
$35K |
| 29405 |
|
494 |
327 |
$34K |
| 20611 |
|
338 |
230 |
$30K |
| 11721 |
|
1,197 |
1,155 |
$30K |
| 99215 |
Prolong outpt/office vis |
223 |
211 |
$21K |
| Q4038 |
Cast sup shrt leg fiberglass |
270 |
194 |
$14K |
| 97112 |
|
449 |
192 |
$10K |
| 80307 |
|
348 |
330 |
$9K |
| 97530 |
|
328 |
121 |
$8K |
| 72100 |
|
202 |
198 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,566 |
1,490 |
$6K |
| 20610 |
|
105 |
96 |
$5K |
| 73564 |
|
131 |
130 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 97161 |
|
87 |
86 |
$3K |
| 11042 |
|
23 |
12 |
$2K |
| 72114 |
|
27 |
27 |
$2K |
| 77002 |
|
12 |
12 |
$940.76 |
| 73562 |
|
25 |
24 |
$804.50 |
| 73110 |
|
12 |
12 |
$555.32 |
| G2211 |
Complex e/m visit add on |
261 |
243 |
$528.44 |
| 73502 |
|
12 |
12 |
$496.47 |
| 73030 |
|
16 |
13 |
$312.49 |
| 96127 |
|
58 |
58 |
$204.97 |
| 97140 |
|
202 |
96 |
$175.17 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
543 |
487 |
$155.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
78 |
77 |
$80.58 |
| G8420 |
Calc bmi norm parameters |
15 |
13 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
115 |
99 |
$0.00 |