LABETTE COUNTY MEDICAL CENTER
NPI: 1194723890
· ERIE, KS 66733
· Rural Health Clinic/Center
· NPI assigned 07/07/2005
$389K
Total Medicaid Paid
Provider Details
| Authorized Official | MACARONAS, THOMAS (CFO) |
| Parent Organization | LABETTE COUNTY MEDICAL CENTER |
| NPI Enumeration Date | 07/07/2005 |
Related Entities
Other providers sharing the same authorized official: MACARONAS, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
226 |
$12K |
| 2019 |
328 |
$15K |
| 2020 |
200 |
$22K |
| 2021 |
487 |
$59K |
| 2022 |
753 |
$100K |
| 2023 |
744 |
$114K |
| 2024 |
395 |
$68K |
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 |
2,690 |
2,157 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
292 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$2K |
| 90734 |
|
19 |
19 |
$68.76 |
| 90651 |
|
14 |
14 |
$68.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |