NPI: 1114491875 · MOUNT CARMEL, IL 62863 · Rural Health Clinic/Center · NPI assigned 01/16/2019
| Authorized Official | TURNER, KARISSA (CEO) |
| NPI Enumeration Date | 01/16/2019 |
Other providers sharing the same authorized official: TURNER, KARISSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $2.85M |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $1.17M |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $821K |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $432K |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $423K |
| WABASH GENERAL HOSPITAL DISTRICT | ALBION | IL | $413K |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $397K |
| WABASH GENERAL HOSPITAL DISTRICT | GRAYVILLE | IL | $232K |
| WABASH GENERAL HOSPITAL DISTRICT | MOUNT CARMEL | IL | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,242 | $26K |
| 2020 | 2,001 | $83K |
| 2021 | 1,925 | $74K |
| 2022 | 1,942 | $77K |
| 2023 | 1,949 | $95K |
| 2024 | 1,784 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,889 | 5,226 | $439K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 593 | 441 | $85.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,212 | 2,533 | $56.70 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 113 | 93 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 18 | 12 | $0.00 |
| 90686 | 18 | 12 | $0.00 |