Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › NEWPORT › PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1

PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1

NPI: 1720294002 · NEWPORT, WA 99156 · Family Medicine Physician · NPI assigned 05/15/2007

$453.67
Total Medicaid Paid
45
Total Claims
45
Beneficiaries
3
Codes Billed
2020-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMANUS, KIM (CEO)
NPI Enumeration Date05/15/2007

Related Entities

Other providers sharing the same authorized official: MANUS, KIM

ProviderCityStateTotal Paid
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NEWPORT WA $11.61M
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NEWPORT WA $10.67M
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NEWPORT WA $747K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $411.91
2023 12 $41.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 20 20 $299.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $112.47
81002 12 12 $41.76