BANNER CHURCHILL COMMUNITY HOSPITAL
NPI: 1023113115
· FALLON, NV 89406
· 282N00000X
$166.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
229 |
$166.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
33 |
30 |
$108.14 |
| 80053 |
|
55 |
45 |
$21.63 |
| 96375 |
|
16 |
12 |
$19.77 |
| 85025 |
|
55 |
48 |
$15.93 |
| J1885 |
Ketorolac tromethamine inj |
16 |
14 |
$1.52 |
| 99283 |
|
13 |
13 |
$0.00 |
| 36415 |
|
41 |
40 |
$0.00 |