INTEGRIS GROVE HOSPITAL

NPI: 1275133993 · VINITA, OK 74301 · Rural Health Clinic/Center · NPI assigned 10/30/2020

$263K

Total Medicaid Paid

3,701

Total Claims

3,579

Beneficiaries

Codes Billed

2021-04

First Month

2024-11

Last Month

Provider Details

Authorized Official	HAMMES, CHRIS (SENIOR VICE PRESIDENT & COO)
Parent Organization	INTEGRIS GROVE HOSPITAL
NPI Enumeration Date	10/30/2020

Other providers sharing the same authorized official: HAMMES, CHRIS

Provider	City	State	Total Paid
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION	OKLAHOMA CITY	OK	$38.62M
INTEGRIS GROVE HOSPITAL	GROVE	OK	$3.41M
INTEGRIS GROVE HOSPITAL	GROVE	OK	$1.96M
INTEGRIS MIAMI HOSPITAL	MIAMI	OK	$1.44M
INTEGRIS BASS BAPTIST HEALTH CENTER	ENID	OK	$1.11M
INTEGRIS BASS BAPTIST HEALTH CENTER	HENNESSEY	OK	$264K
INTEGRIS MIAMI HOSPITAL	MIAMI	OK	$102K
INTEGRIS BASS BAPTIST HEALTH CENTER	CALDWELL	KS	$29K
INTEGRIS BASS BAPTIST HEALTH CENTER	ENID	OK	$2K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,277	2,193	$169K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	669	639	$70K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	100	100	$9K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	145	144	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	349	342	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	161	161	$4K