CHARLES COLE MEMORIAL HOSPITAL
NPI: 1275605776
· ULYSSES, PA 16948
· Rural Health Clinic/Center
· NPI assigned 11/14/2006
$324K
Total Medicaid Paid
Provider Details
| Authorized Official | GLUNK, DANIEL (INTERIM PRESIDENT) |
| NPI Enumeration Date | 11/14/2006 |
Related Entities
Other providers sharing the same authorized official: GLUNK, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$444.88 |
| 2020 |
47 |
$6K |
| 2021 |
527 |
$38K |
| 2022 |
1,119 |
$89K |
| 2023 |
1,233 |
$96K |
| 2024 |
1,102 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,490 |
2,251 |
$324K |
| 3078F |
|
48 |
44 |
$30.00 |
| 3074F |
|
47 |
43 |
$30.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
770 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
567 |
$0.00 |