LEWIS & CLARK ORTHOPAEDIC INSTITUTE LLC
NPI: 1922093293
· LEWISTON, ID 83501
· Ambulatory Surgical Clinic/Center
· NPI assigned 09/13/2005
$103K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DESAUTELS, JEANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$89.50 |
| 2019 |
224 |
$0.00 |
| 2020 |
405 |
$824.85 |
| 2021 |
19 |
$7K |
| 2022 |
71 |
$21K |
| 2023 |
122 |
$53K |
| 2024 |
60 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
198 |
107 |
$63K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
27 |
27 |
$39K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
507 |
496 |
$914.35 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
30 |
29 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
245 |
242 |
$0.00 |