NOBLE HEALTH FULTON INC
NPI: 1053933457
· FULTON, MO 65251
· General Acute Care Hospital
· NPI assigned 05/08/2020
$190K
Total Medicaid Paid
Provider Details
| Authorized Official | STONE, JEFFREY (INTERIM CEO) |
| NPI Enumeration Date | 05/08/2020 |
Related Entities
Other providers sharing the same authorized official: STONE, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
333 |
$71K |
| 2019 |
308 |
$85K |
| 2020 |
81 |
$30K |
| 2021 |
64 |
$1K |
| 2022 |
215 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
472 |
420 |
$183K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
106 |
92 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
76 |
74 |
$2K |
| 80053 |
Comprehensive metabolic panel |
64 |
51 |
$257.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
35 |
$255.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84 |
68 |
$244.32 |
| Y7506 |
|
41 |
36 |
$171.96 |
| 87400 |
|
18 |
18 |
$12.72 |
| 81001 |
|
15 |
14 |
$11.40 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
38 |
31 |
$0.00 |