SUMNER COUNTY HOSPITAL DISTRICT NO 1
NPI: 1215094438
· CALDWELL, KS 67022
· Critical Access Hospital
· NPI assigned 01/03/2007
$242.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BOLLMAN, BROOKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
62 |
$142.68 |
| 2019 |
60 |
$19.04 |
| 2020 |
161 |
$62.36 |
| 2021 |
30 |
$10.68 |
| 2023 |
53 |
$7.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
24 |
$108.59 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$75.49 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
207 |
$57.92 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
69 |
52 |
$0.00 |