NPI: 1306070594 · LAGRANGE, OH 44050 · Rural Health Clinic/Center · NPI assigned 05/04/2009
Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
| Authorized Official | RALSTON, KIMBERLY (CEO) |
| Parent Organization | MERCY HEALTH LORAIN LLC |
| NPI Enumeration Date | 05/04/2009 |
Other providers sharing the same authorized official: RALSTON, KIMBERLY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,226 | $52K |
| 2019 | 3,707 | $46K |
| 2020 | 5,241 | $67K |
| 2021 | 5,472 | $76K |
| 2022 | 4,726 | $61K |
| 2023 | 5,886 | $62K |
| 2024 | 3,020 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,106 | 4,544 | $166K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,139 | 2,748 | $132K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,788 | 4,048 | $106K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 79 | 67 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 111 | 84 | $1K |
| 90688 | 73 | 57 | $735.01 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 63 | 28 | $722.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 32 | 16 | $338.28 |
| 90686 | 33 | 18 | $290.79 | |
| 36415 | Collection of venous blood by venipuncture | 83 | 57 | $82.26 |
| 1036F | 2,677 | 2,263 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 87 | 81 | $0.00 |
| 3014F | 14 | 12 | $0.00 | |
| 3017F | 675 | 586 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 289 | 273 | $0.00 |
| 3074F | 15 | 12 | $0.00 | |
| 4004F | 1,524 | 1,352 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 4,682 | 4,011 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 2,660 | 2,295 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 320 | 282 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 2,828 | 2,389 | $0.00 |