NPI: 1306345764 · QUITMAN, TX 75783 · Rural Health Clinic/Center · NPI assigned 02/12/2018
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (EVP) |
| Parent Organization | AHS EAST TEXAS HEALTH SYSTEM, LLC |
| NPI Enumeration Date | 02/12/2018 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $0.00 |
| 2020 | 222 | $29K |
| 2021 | 918 | $115K |
| 2022 | 1,459 | $146K |
| 2023 | 1,216 | $194K |
| 2024 | 557 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,656 | 3,104 | $554K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 49 | 47 | $7K |
| 99307 | 170 | 170 | $4K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 61 | 59 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17 | 16 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 13 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 20 | 18 | $2K |
| CP005 | 32 | 27 | $1K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13 | 12 | $270.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 63 | 61 | $9.00 |
| 3078F | 54 | 53 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 27 | 27 | $0.00 |
| 90461 | 28 | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 34 | 26 | $0.00 |
| 3008F | 84 | 83 | $0.00 | |
| 3074F | 64 | 63 | $0.00 | |
| 90686 | 31 | 31 | $0.00 |