WASHINGTON REGIONAL MEDICAL SYSTEM
NPI: 1114971819
· FAYETTEVILLE, AR 72703
· Family Medicine Physician
· NPI assigned 05/19/2006
$212K
Total Medicaid Paid
Provider Details
| Authorized Official | ROTHROCK, MARY (DIRECTOR CLINIC ADMINISTRATION) |
| NPI Enumeration Date | 05/19/2006 |
Related Entities
Other providers sharing the same authorized official: ROTHROCK, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,339 |
$40K |
| 2019 |
1,369 |
$46K |
| 2020 |
389 |
$11K |
| 2021 |
369 |
$14K |
| 2022 |
853 |
$29K |
| 2023 |
1,422 |
$48K |
| 2024 |
846 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,774 |
3,048 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,188 |
1,861 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
65 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
299 |
274 |
$614.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
12 |
$199.20 |
| 99443 |
|
33 |
26 |
$152.18 |
| G0008 |
Administration of influenza virus vaccine |
17 |
14 |
$30.90 |
| 99441 |
|
16 |
13 |
$28.24 |
| 81002 |
|
15 |
13 |
$14.64 |
| 3078F |
|
36 |
35 |
$0.00 |
| 1000F |
|
81 |
77 |
$0.00 |
| 3074F |
|
42 |
41 |
$0.00 |