LOST RIVERS MEDICAL CENTER
NPI: 1760402663
· MACKAY, ID 83251
· Family Medicine Physician
· NPI assigned 07/20/2006
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | HUERTA, BRAD (CEO) |
| NPI Enumeration Date | 07/20/2006 |
Related Entities
Other providers sharing the same authorized official: HUERTA, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
653 |
$36K |
| 2019 |
637 |
$33K |
| 2020 |
352 |
$18K |
| 2021 |
226 |
$12K |
| 2022 |
64 |
$5K |
| 2023 |
13 |
$1K |
| 2024 |
16 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,279 |
1,149 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
682 |
623 |
$3K |