SANTIAM MEMORIAL HOSPITAL
NPI: 1013302017
· AUMSVILLE, OR 97325
· Rural Health Clinic/Center
· NPI assigned 04/06/2015
$305K
Total Medicaid Paid
Provider Details
| Authorized Official | HUDSON, MAGGIE (COO/CFO) |
| NPI Enumeration Date | 04/06/2015 |
Related Entities
Other providers sharing the same authorized official: HUDSON, MAGGIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,452 |
$143K |
| 2019 |
2,167 |
$150K |
| 2020 |
840 |
$12K |
| 2022 |
79 |
$0.00 |
| 2023 |
132 |
$937.57 |
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 |
3,109 |
2,673 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,926 |
1,553 |
$118K |
| 96152 |
|
197 |
118 |
$6K |
| 90682 |
|
58 |
57 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$2K |
| 90686 |
|
86 |
86 |
$2K |
| 96156 |
|
13 |
13 |
$726.00 |
| 96127 |
|
20 |
17 |
$105.08 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$18.66 |
| 3074F |
|
39 |
37 |
$0.00 |
| 1036F |
|
46 |
44 |
$0.00 |
| 3008F |
|
48 |
45 |
$0.00 |
| 3078F |
|
38 |
38 |
$0.00 |