Home ›
SD ›
PLATTE ›
PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
NPI: 1164195905
· PLATTE, SD 57369
· Family Medicine Physician
· NPI assigned 07/28/2021
$658.63
Total Medicaid Paid
Provider Details
| Authorized Official | KOTILINEK, VALERIE (MEDICAL LEAD BILLER) |
| NPI Enumeration Date | 07/28/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
60 |
$297.04 |
| 2023 |
37 |
$177.59 |
| 2024 |
42 |
$184.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
66 |
$615.59 |
| 90686 |
|
48 |
45 |
$43.04 |
| 90656 |
|
21 |
20 |
$0.00 |