ST LUKE'S JONES REGIONAL MEDICAL CENTER
NPI: 1033619804
· SHELLSBURG, IA 52332
· Family Medicine Physician
· NPI assigned 02/18/2018
$349K
Total Medicaid Paid
Provider Details
| Authorized Official | BRIESEMEISTER, ERIC (CEO) |
| Parent Organization | ST LUKE'S JONES REGIONAL MEDICAL CENTER |
| NPI Enumeration Date | 02/18/2018 |
Related Entities
Other providers sharing the same authorized official: BRIESEMEISTER, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
919 |
$58K |
| 2019 |
1,445 |
$87K |
| 2020 |
1,078 |
$60K |
| 2021 |
1,180 |
$70K |
| 2022 |
1,304 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,248 |
2,857 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,286 |
2,051 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
226 |
$112.33 |
| 90686 |
|
95 |
90 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
63 |
$0.00 |