Medicaid Provider Spending

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

LAKE HOSPITAL SYSTEM INC.

NPI: 1912967209 · WILLOWICK, OH 44095 · Family Medicine Physician · NPI assigned 03/23/2006

$65K
Total Medicaid Paid
2,774
Total Claims
2,686
Beneficiaries
5
Codes Billed
2018-02
First Month
2018-11
Last Month

Provider Details

Authorized OfficialTRACZ, BOB (CFO)
NPI Enumeration Date03/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,774 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,120 2,049 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 177 171 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 245 241 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 176 174 $2K
81002 56 51 $98.08