GREAT PLAINS OF SABETHA INC
NPI: 1306875745
· SABETHA, KS 66534
· Critical Access Hospital
· NPI assigned 06/30/2006
Provider Details
Related Entities
Other providers sharing the same authorized official: COLGLAZIER, GARRETT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
311 |
$2K |
| 2019 |
64 |
$75.30 |
| 2020 |
122 |
$3K |
| 2021 |
342 |
$7K |
| 2022 |
22 |
$389.44 |
| 2023 |
13 |
$92.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
106 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
240 |
136 |
$4K |
| 80053 |
Comprehensive metabolic panel |
106 |
101 |
$959.98 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
13 |
$817.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
112 |
$475.14 |
| 11721 |
|
95 |
94 |
$220.17 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
139 |
$10.27 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |