Medicaid Provider Spending

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

PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1

NPI: 1912026360 · NEWPORT, WA 99156 · Family Medicine Physician · NPI assigned 03/28/2007

$10.67M
Total Medicaid Paid
102,902
Total Claims
91,874
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANUS, KIM (CEO)
NPI Enumeration Date03/28/2007

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 $747K
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NEWPORT WA $453.67

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,562 $1.73M
2019 18,973 $1.87M
2020 13,927 $1.43M
2021 12,120 $1.26M
2022 12,875 $1.37M
2023 13,782 $1.52M
2024 12,663 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 53,236 47,004 $8.33M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,305 24,751 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,280 18,413 $1.12M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,068 814 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 102 91 $7K
90837 Psychotherapy, 53 minutes with patient 45 25 $5K
99308 Subsequent nursing facility care, per day, straightforward 21 13 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 13 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $684.08
99309 Subsequent nursing facility care, per day, low to moderate complexity 24 12 $578.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 40 $526.29
90686 36 35 $410.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 254 249 $329.15
96127 130 88 $288.96
96110 Developmental screening, with scoring and documentation, per standardized instrument 39 39 $185.13
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $169.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 226 212 $0.00