MISSOURI BAPTIST HOSPITAL OF SULLIVAN
NPI: 1235228222
· SULLIVAN, MO 63080
· 261QR1300X
$3.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,067 |
$1.29M |
| 2019 |
8,877 |
$1.04M |
| 2020 |
4,991 |
$573K |
| 2021 |
2,348 |
$162K |
| 2022 |
2,719 |
$166K |
| 2023 |
3,404 |
$209K |
| 2024 |
3,290 |
$218K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,558 |
9,935 |
$1.76M |
| 99213 |
|
12,712 |
10,725 |
$1.21M |
| 99391 |
|
1,125 |
1,057 |
$181K |
| 99392 |
|
690 |
671 |
$120K |
| 99309 |
|
1,727 |
1,279 |
$95K |
| 99233 |
Prolong inpt eval add15 m |
1,638 |
750 |
$49K |
| 99212 |
|
659 |
464 |
$38K |
| 99393 |
|
188 |
185 |
$34K |
| 99232 |
|
1,066 |
478 |
$32K |
| 76818 |
|
57 |
27 |
$25K |
| 99239 |
|
587 |
536 |
$22K |
| 11042 |
|
540 |
270 |
$19K |
| 99394 |
|
77 |
77 |
$15K |
| 99337 |
|
100 |
83 |
$11K |
| 76816 |
|
20 |
14 |
$9K |
| 97597 |
|
204 |
108 |
$8K |
| 99222 |
|
120 |
116 |
$7K |
| 99308 |
|
107 |
88 |
$7K |
| 99238 |
|
136 |
123 |
$5K |
| 99203 |
|
16 |
16 |
$3K |
| 43239 |
|
12 |
12 |
$3K |
| 99381 |
|
13 |
13 |
$2K |
| 99336 |
|
17 |
13 |
$2K |
| 99231 |
|
107 |
62 |
$2K |
| 99307 |
|
15 |
14 |
$668.78 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$572.42 |
| 81003 |
|
173 |
125 |
$286.21 |
| G2025 |
Dis site tele svcs rhc/fqhc |
20 |
12 |
$234.40 |