MISSOURI BAPTIST HOSPITAL OF SULLIVAN
NPI: 1184174567
· BOURBON, MO 65441
· Multi-Specialty Clinic/Center
· NPI assigned 10/10/2016
Provider Details
| Authorized Official | SCHWARM, TONY (PRESIDENT) |
| NPI Enumeration Date | 10/10/2016 |
Related Entities
Other providers sharing the same authorized official: SCHWARM, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$513.03 |
| 2022 |
13 |
$240.63 |
| 2023 |
12 |
$381.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$753.66 |
| 87428 |
|
12 |
12 |
$381.15 |