SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI: 1285775858
· MILAN, MO 63556
· Rural Health Clinic/Center
· NPI assigned 02/08/2007
$363K
Total Medicaid Paid
Provider Details
| Authorized Official | MICHAEL, AMY (COO) |
| NPI Enumeration Date | 02/08/2007 |
Related Entities
Other providers sharing the same authorized official: MICHAEL, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,028 |
$116K |
| 2019 |
758 |
$87K |
| 2020 |
614 |
$61K |
| 2021 |
365 |
$32K |
| 2022 |
200 |
$22K |
| 2023 |
262 |
$28K |
| 2024 |
201 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,118 |
1,791 |
$235K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
850 |
719 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
338 |
$40K |
| 81003 |
|
17 |
12 |
$3K |
| 11721 |
|
22 |
12 |
$0.00 |