HEALTHMARK OF WALTON RURAL HEALTH CLINIC INC
NPI: 1013908201
· DEFUNIAK SPRINGS, FL 32435
· Rural Health Clinic/Center
· NPI assigned 11/04/2005
$142K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLLEY, LISA (COO) |
| Parent Organization | HEALTHMARK OF WALTON INC |
| NPI Enumeration Date | 11/04/2005 |
Related Entities
Other providers sharing the same authorized official: HOLLEY, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
112 |
$1K |
| 2019 |
1,627 |
$90K |
| 2020 |
715 |
$51K |
| 2021 |
80 |
$144.80 |
| 2022 |
94 |
$0.00 |
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 |
1,097 |
989 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,116 |
973 |
$64K |
| 99201 |
|
108 |
105 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
95 |
86 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
28 |
$953.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
132 |
$247.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
39 |
$119.53 |