GREAT RIVER PHYSICIANS AND CLINICS INC
NPI: 1053452391
· MEDIAPOLIS, IA 52637
· Family Medicine Physician
· NPI assigned 02/09/2007
$237K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYES, TONY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 02/09/2007 |
Related Entities
Other providers sharing the same authorized official: HAYES, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
912 |
$54K |
| 2019 |
1,506 |
$78K |
| 2020 |
1,141 |
$63K |
| 2021 |
779 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,407 |
2,005 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,327 |
1,150 |
$429.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
413 |
$391.42 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
106 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |