NPI: 1043719560 · FRANKSTON, TX 75763 · Rural Health Clinic/Center · NPI assigned 02/10/2018
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (EVP) |
| Parent Organization | AHS EAST TEXAS HEALTH SYSTEM, LLC |
| NPI Enumeration Date | 02/10/2018 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 63 | $10K |
| 2021 | 1,995 | $284K |
| 2022 | 1,633 | $235K |
| 2023 | 524 | $92K |
| 2024 | 244 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,934 | 3,541 | $668K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 34 | 31 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17 | 15 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $1K |
| 99307 | 166 | 166 | $624.21 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 179 | 109 | $177.95 |
| 90461 | 76 | 44 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| 3078F | 14 | 13 | $0.00 | |
| 3074F | 14 | 14 | $0.00 |