NPI: 1285724229 · PONCA, NE 68770 · Skilled Nursing Facility · NPI assigned 10/13/2006
| Authorized Official | HATCHER, JACQUELINE (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 10/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 35 | $41.71 |
| 2019 | 35 | $36.61 |
| 2020 | 31 | $5.33 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 101 | 74 | $83.65 |