LINCOLN COUNTY HOSPITAL DISTRICT #3
NPI: 1972547610
· WILBUR, WA 99185
· Family Medicine Physician
· NPI assigned 06/15/2006
$350K
Total Medicaid Paid
Provider Details
| Authorized Official | LACY, TYSON (CEO) |
| Parent Organization | LINCOLN COUNTY HOSPITAL DISTRICT #3 / NORTH BASIN MEDICAL CLINICS |
| NPI Enumeration Date | 06/15/2006 |
Related Entities
Other providers sharing the same authorized official: LACY, TYSON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
711 |
$47K |
| 2019 |
485 |
$32K |
| 2020 |
204 |
$15K |
| 2021 |
610 |
$43K |
| 2022 |
668 |
$63K |
| 2023 |
560 |
$90K |
| 2024 |
303 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,586 |
2,389 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
829 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 81003 |
|
17 |
17 |
$31.66 |
| 85014 |
|
13 |
13 |
$26.88 |
| 36416 |
|
12 |
12 |
$8.16 |