FAMILY WALK IN CLINIC OF MOUNTAIN GROVE INC
NPI: 1083705529
· MOUNTAIN GROVE, MO 65711
· Rural Health Clinic/Center
· NPI assigned 09/28/2006
$697K
Total Medicaid Paid
Provider Details
| Authorized Official | DUGAN, KENNETH (VICE-PRESIDENT) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: DUGAN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,502 |
$240K |
| 2019 |
3,181 |
$218K |
| 2020 |
1,405 |
$98K |
| 2021 |
533 |
$31K |
| 2022 |
457 |
$35K |
| 2023 |
486 |
$40K |
| 2024 |
465 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,603 |
6,136 |
$556K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,908 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
244 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |