MANSFIELD CLINIC, INC.
NPI: 1285687509
· AVA, MO 65608
· Rural Health Clinic/Center
· NPI assigned 05/18/2006
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | DUGAN, KENNETH (VICE PRESIDENT) |
| Parent Organization | MANSFIELD CLINIC, INC. |
| NPI Enumeration Date | 05/18/2006 |
Related Entities
Other providers sharing the same authorized official: DUGAN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,137 |
$419K |
| 2019 |
6,289 |
$434K |
| 2020 |
3,231 |
$220K |
| 2021 |
1,102 |
$58K |
| 2022 |
1,348 |
$85K |
| 2023 |
1,724 |
$129K |
| 2024 |
1,815 |
$128K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,660 |
12,332 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,865 |
4,126 |
$286K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
32 |
29 |
$0.00 |