LAKE HOSPITAL SYSTEM, INC.
NPI: 1821253048
· MENTOR, OH 44060
· Family Medicine Physician
· NPI assigned 07/28/2008
$249K
Total Medicaid Paid
Provider Details
| Authorized Official | TRACZ, ROBERT (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 07/28/2008 |
Related Entities
Other providers sharing the same authorized official: TRACZ, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,831 |
$52K |
| 2019 |
1,414 |
$46K |
| 2020 |
1,026 |
$33K |
| 2021 |
991 |
$36K |
| 2022 |
1,246 |
$43K |
| 2023 |
742 |
$24K |
| 2024 |
742 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,721 |
5,163 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
895 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
207 |
$5K |
| 0011A |
|
42 |
42 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
60 |
54 |
$922.56 |
| 0012A |
|
27 |
26 |
$915.34 |
| 90688 |
|
40 |
38 |
$430.37 |
| 81003 |
|
248 |
231 |
$384.67 |
| 3008F |
|
158 |
152 |
$0.00 |
| 94760 |
|
214 |
197 |
$0.00 |
| 1036F |
|
296 |
277 |
$0.00 |