NPI: 1295739548 · SALEM, IL 62881 · Rural Acute Care Hospital
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,339 | $29K |
| 2019 | 5,656 | $272K |
| 2020 | 2,962 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | 1,754 | 286 | $316K | |
| 87633 | 102 | 88 | $15K | |
| 87502 | 407 | 388 | $15K | |
| 87651 | 615 | 591 | $11K | |
| 87635 | 92 | 70 | $4K | |
| 84443 | 658 | 544 | $4K | |
| 71046 | 408 | 374 | $3K | |
| 80053 | 1,285 | 1,066 | $3K | |
| 85025 | 1,436 | 1,206 | $1K | |
| 87798 | 75 | 49 | $468.19 | |
| 80061 | 437 | 358 | $448.33 | |
| 87086 | 179 | 148 | $425.53 | |
| 83036 | 333 | 277 | $337.68 | |
| 93005 | 112 | 108 | $279.52 | |
| 81000 | 429 | 367 | $214.52 | |
| 82306 | 76 | 54 | $148.12 | |
| 73630 | 16 | 15 | $141.21 | |
| 99283 | 109 | 102 | $66.69 | |
| 93010 | 45 | 38 | $64.00 | |
| 84439 | 52 | 42 | $61.07 | |
| 87186 | 15 | 12 | $55.00 | |
| 85610 | 30 | 13 | $40.92 | |
| 81003 | 77 | 68 | $38.27 | |
| 36415 | 459 | 355 | $3.99 | |
| 0272 | 178 | 142 | $0.00 | |
| 0637 | 69 | 25 | $0.00 | |
| 0250 | 199 | 131 | $0.00 | |
| 0258 | 136 | 95 | $0.00 | |
| 87486 | 60 | 46 | $0.00 | |
| 87581 | 60 | 46 | $0.00 | |
| 0270 | 19 | 15 | $0.00 | |
| 81015 | 35 | 28 | $0.00 |