PEMISCOT COUNTY MEMORIAL HOSPITAL
NPI: 1124518451
· GIDEON, MO 63848
· Rural Health Clinic/Center
· NPI assigned 05/11/2018
$290K
Total Medicaid Paid
Provider Details
| Authorized Official | MARSHALL, JAMES (CFO) |
| NPI Enumeration Date | 05/11/2018 |
Related Entities
Other providers sharing the same authorized official: MARSHALL, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,530 |
$156K |
| 2019 |
1,260 |
$134K |
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 |
1,665 |
1,266 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,417 |
1,075 |
$101K |
| T1015 |
Clinic visit/encounter, all-inclusive |
708 |
389 |
$50K |