Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › SAINT MARYS › CITY OF SISTERSVILLE

CITY OF SISTERSVILLE

NPI: 1154722924 · SAINT MARYS, WV 26170 · Rural Health Clinic/Center · NPI assigned 09/11/2014

$198K
Total Medicaid Paid
3,457
Total Claims
3,107
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCHADOCK, BRANDON (AO)
Parent OrganizationCITY OF SISTERSVILLE
NPI Enumeration Date09/11/2014

Related Entities

Other providers sharing the same authorized official: CHADOCK, BRANDON

ProviderCityStateTotal Paid
CITY OF SISTERSVILLE SISTERSVILLE WV $2.37M
CITY OF SISTERSVILLE SISTERSVILLE WV $1.14M
CITY OF SISTERSVILLE MIDDLEBOURNE WV $207K
CITY OF SISTERSVILLE SISTERSVILLE WV $445.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $43K
2019 628 $27K
2020 1,101 $57K
2021 838 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,934 2,623 $126K
T1015 Clinic visit/encounter, all-inclusive 305 276 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 65 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 76 71 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 57 $1K
87430 16 15 $759.13