MEMORIAL HOSPITAL ASSOCIATION
NPI: 1184027849
· LA HARPE, IL 61450
· Rural Health Clinic/Center
· NPI assigned 10/08/2014
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, TERESA (CHIEF FINANCIAL OFFICER - CFO) |
| NPI Enumeration Date | 10/08/2014 |
Related Entities
Other providers sharing the same authorized official: SMITH, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
127 |
$6K |
| 2019 |
1,524 |
$47K |
| 2020 |
1,216 |
$61K |
| 2021 |
305 |
$17K |
| 2022 |
59 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,900 |
995 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,226 |
577 |
$28.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
84 |
$0.00 |