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CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
NPI: 1205362449
· SIDNEY, NE 69162
· Physician Assistant
· NPI assigned 05/09/2017
$1.33M
Total Medicaid Paid
Provider Details
| Authorized Official | UTLEY, KELLY (CFO) |
| Parent Organization | CHEYENNE COUNTY HOSPITAL ASSOCIATION INC |
| NPI Enumeration Date | 05/09/2017 |
Related Entities
Other providers sharing the same authorized official: UTLEY, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
444 |
$56K |
| 2021 |
1,834 |
$239K |
| 2022 |
2,227 |
$268K |
| 2023 |
2,212 |
$293K |
| 2024 |
2,435 |
$479K |
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 |
7,016 |
6,392 |
$932K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,651 |
1,589 |
$363K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
442 |
422 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
24 |
$1K |