NPI: 1184658387 · BLOOMSDALE, MO 63627 · Family Medicine Physician · NPI assigned 07/11/2006
| Authorized Official | WOLK, AMANDA (BUSINESS OFFICE DIRECTOR) |
| Parent Organization | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 07/11/2006 |
Other providers sharing the same authorized official: WOLK, AMANDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $648K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $528K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | SAINTE GENEVIEVE | MO | $427K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $187K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $159K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $21K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $11K |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | STE GENEVIEVE | MO | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,992 | $199K |
| 2019 | 1,832 | $159K |
| 2020 | 824 | $71K |
| 2021 | 657 | $43K |
| 2022 | 281 | $19K |
| 2023 | 190 | $10K |
| 2024 | 61 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,476 | 4,041 | $384K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 695 | 591 | $77K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 71 | 36 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 135 | 118 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 232 | 163 | $10K |
| 1111F | 29 | 26 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 14 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14 | 13 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 171 | 86 | $28.20 |