ST. MARY'S REGIONAL HEALTH CENTER
NPI: 1265876023
· PELICAN RAPIDS, MN
$459K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,354 |
$80K |
| 2019 |
1,032 |
$54K |
| 2020 |
395 |
$12K |
| 2021 |
328 |
$29K |
| 2022 |
710 |
$84K |
| 2023 |
740 |
$98K |
| 2024 |
730 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,112 |
1,383 |
$252K |
| 99213 |
|
1,863 |
1,350 |
$207K |
| 90471 |
|
320 |
235 |
$81.08 |
| 90686 |
|
385 |
275 |
$61.90 |
| 36415 |
|
446 |
358 |
$8.83 |
| 92551 |
|
60 |
38 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
30 |
12 |
$0.00 |
| 87880 |
|
13 |
12 |
$0.00 |
| 99173 |
|
60 |
39 |
$0.00 |