SYRINGA GENERAL HOSPITAL DISTRICT C I F
NPI: 1073802492
· GRANGEVILLE, ID 83530
· Primary Care Clinic/Center
· NPI assigned 04/06/2011
$2.31M
Total Medicaid Paid
Provider Details
| Authorized Official | APPLEWOOD, DAVID (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 04/06/2011 |
Related Entities
Other providers sharing the same authorized official: APPLEWOOD, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,985 |
$202K |
| 2019 |
3,575 |
$258K |
| 2020 |
5,029 |
$355K |
| 2021 |
5,452 |
$403K |
| 2022 |
5,396 |
$406K |
| 2023 |
4,675 |
$373K |
| 2024 |
3,425 |
$310K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,722 |
19,822 |
$2.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,303 |
7,029 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,256 |
1,190 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
94 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
101 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
44 |
39 |
$0.00 |