Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIRNE HEALTH CENTERS, INC.

NPI: 1760736334 · RATHDRUM, ID 83858 · Physician Assistant · NPI assigned 11/05/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BAKER, MICHAEL controls 11+ related entities in our dataset. Read more

$3.00M
Total Medicaid Paid
38,974
Total Claims
35,221
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBAKER, MICHAEL (CEO)
Parent OrganizationDIRNE HEALTH CENTERS INC
NPI Enumeration Date11/05/2012

Related Entities

Other providers sharing the same authorized official: BAKER, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,149 $336K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 14,371 12,816 $2.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,142 3,816 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 431 388 $18K
G0467 Federally 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 404 312 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 244 193 $2K
36415 Collection of venous blood by venipuncture 112 105 $722.54
99441 76 74 $460.54
99442 431 406 $324.47
90686 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 21 15 $55.18
99215 Prolong outpt/office vis 28 28 $42.75
96127 746 470 $41.34
80305 86 80 $32.90
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $10.46
83036 Hemoglobin; glycosylated (A1C) 29 28 $3.30
3078F 3,074 2,873 $0.49
3074F 3,526 3,286 $0.49
81002 13 12 $0.35
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00
3725F 1,778 1,638 $0.00
3077F 251 229 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00
3079F 1,422 1,330 $0.00
1036F 111 108 $0.00
3075F 702 674 $0.00
3008F 308 302 $0.00
90674 20 20 $0.00
36416 100 97 $0.00
1034F 69 66 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $0.00
3080F 43 43 $0.00
99000 30 27 $0.00
1125F 13 13 $0.00