NP / PA
Dirne Health Centers, INC.
Dirne Health Centers, INC. was paid $3.00M by Medicaid between Jan 2018 and Sep 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoDIRNE HEALTH CENTERS, INC.
RATHDRUM, ID 83858
RATHDRUM, ID 83858
33aNPI1760736334assigned 11/05/2012
33bProvider typePhysician Assistant
28Total paid$3.00M
24GClaims38,974
24DCodes billed35
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Physician Assistant providers in Idaho
Rank by total paid#3 of 20
Median peer was paid$123K
This provider vs. median24×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BAKER, MICHAEL controls 11+ related entities in our dataset. Read more
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 | 4,135 | $259K | |
| 2019 | 2,474 | $197K | |
| 2020 | 4,339 | $387K | |
| 2021 | 10,354 | $581K | |
| 2022 | 6,396 | $691K | |
| 2023 | 7,127 | $547K | |
| 2024incomplete | 4,149 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 14,371 | 12,816 | $2.91M |
| 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 | 1.1% | 4,142 | 3,816 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,294 | 5,676 | $21K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 431 | 388 | $18K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 404 | 312 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 244 | 193 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 112 | 105 | $722.54 |
| 99441 | <1% | 76 | 74 | $460.54 | |
| 99442 | <1% | 431 | 406 | $324.47 | |
| 90686 | <1% | 15 | 12 | $90.25 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 21 | 15 | $55.18 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 28 | $42.75 |
23 more codes
| 96127 | <1% | 746 | $41.34 | |
| 80305 | <1% | 86 | $32.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $10.46 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 29 | $3.30 |
| 3078F | <1% | 3,074 | $0.49 | |
| 3074F | <1% | 3,526 | $0.49 | |
| 81002 | <1% | 13 | $0.35 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 3725F | 0% | 1,778 | $0.00 | |
| 3077F | 0% | 251 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 3079F | 0% | 1,422 | $0.00 | |
| 1036F | 0% | 111 | $0.00 | |
| 3075F | 0% | 702 | $0.00 | |
| 3008F | 0% | 308 | $0.00 | |
| 90674 | 0% | 20 | $0.00 | |
| 36416 | 0% | 100 | $0.00 | |
| 1034F | 0% | 69 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 32 | $0.00 |
| 3080F | 0% | 43 | $0.00 | |
| 99000 | 0% | 30 | $0.00 | |
| 1125F | 0% | 13 | $0.00 |
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 officialBAKER, MICHAEL (CEO)
Parent organizationDIRNE HEALTH CENTERS INC
| Provider | Location | Paid |
|---|---|---|
| Dirne Health Centers, INC. | Coeur D Alene, ID | $13.59M |
| Dirne Health Centers, INC. | Coeur D Alene, ID | $7.16M |
| Dirne Health Centers, INC | Kellogg, ID | $6.55M |
| Dirne Health Centers, INC. | Post Falls, ID | $6.28M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.44M |
| Dirne Health Centers INC | Coeur D Alene, ID | $2.04M |
| Dirne Health Centers INC | Coeur D Alene, ID | $870K |
| Sek Otolaryngology | Pittsburg, KS | $642K |
| Baker Foot Solutions Corp | Anderson, IN | $603K |
| Baker Chiropractic Center PSC | Louisville, KY | $389K |
| Dirne Health Centers INC | Coeur D Alene, ID | $604.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.