SID PETERSON MEMORIAL HOSPITAL
NPI: 1063584803
· KERRVILLE, TX 78028
· Community Based Hospice Care Agency
· NPI assigned 11/15/2006
$519K
Total Medicaid Paid
Provider Details
| Authorized Official | MEDOVICH, LISA (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: MEDOVICH, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$30K |
| 2021 |
19 |
$33K |
| 2022 |
70 |
$178K |
| 2023 |
88 |
$125K |
| 2024 |
50 |
$154K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2046 |
Hospice long term care, room and board only; per diem |
241 |
174 |
$519K |