SUSAN B. ALLEN MEMORIAL HOSPITAL
NPI: 1164554820
· EL DORADO, KS 67042
· General Practice Physician
$175K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
587 |
$6K |
| 2019 |
966 |
$25K |
| 2020 |
422 |
$11K |
| 2021 |
1,071 |
$20K |
| 2022 |
1,730 |
$40K |
| 2023 |
1,887 |
$41K |
| 2024 |
1,326 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,094 |
4,686 |
$131K |
| 99212 |
|
489 |
455 |
$9K |
| 93010 |
|
1,689 |
1,334 |
$9K |
| 87502 |
|
111 |
105 |
$7K |
| 99214 |
|
155 |
142 |
$6K |
| 99203 |
|
101 |
96 |
$5K |
| 87635 |
|
101 |
98 |
$4K |
| 87651 |
|
196 |
181 |
$3K |
| 87634 |
|
12 |
12 |
$670.48 |
| 99202 |
|
27 |
25 |
$659.56 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
14 |
$0.00 |