ALLENDALE COUNTY HOSPITAL BOARD
NPI: 1164529491
· ALLENDALE, SC 29810
· Family Medicine Physician
· NPI assigned 09/20/2006
$628.79
Total Medicaid Paid
Provider Details
| Authorized Official | HIATT, KEN (ADMINISTRATOR) |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: HIATT, KEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$628.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$628.79 |