STORY COUNTY HOSPITAL
NPI: 1023080504
· NEVADA, IA 50201
· Family Medicine Physician
· NPI assigned 02/07/2006
$831.88
Total Medicaid Paid
Provider Details
| Authorized Official | PACKER, KEMBERLEE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 02/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
97 |
$831.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65 |
56 |
$831.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$0.00 |