THOMAS H. BOYD MEMORIAL HOSPITAL
NPI: 1144313180
· ROODHOUSE, IL 62082
· Rural Health Clinic/Center
· NPI assigned 10/02/2006
$444K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLLAND, STACE (CEO) |
| NPI Enumeration Date | 10/02/2006 |
Related Entities
Other providers sharing the same authorized official: HOLLAND, STACE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,839 |
$67K |
| 2019 |
3,154 |
$76K |
| 2020 |
2,145 |
$93K |
| 2021 |
1,100 |
$50K |
| 2022 |
967 |
$47K |
| 2023 |
995 |
$58K |
| 2024 |
908 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,545 |
5,007 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,362 |
2,491 |
$93.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,176 |
857 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
22 |
$0.00 |