BENSON HOSPITAL CORPORATION
NPI: 1023632973
· BENSON, AZ 85602
· Critical Access Hospital
· NPI assigned 06/05/2020
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | HICKS, BRET (CFO) |
| NPI Enumeration Date | 06/05/2020 |
Related Entities
Other providers sharing the same authorized official: HICKS, BRET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,566 |
$198K |
| 2022 |
4,227 |
$463K |
| 2023 |
3,351 |
$273K |
| 2024 |
2,163 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,873 |
4,845 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,573 |
2,962 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,584 |
1,413 |
$934.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
64 |
$16.55 |
| 99493 |
|
140 |
111 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$0.00 |
| 83037 |
|
45 |
37 |
$0.00 |