Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

NPI: 1316999246 · SATANTA, KS 67870 · Family Medicine Physician · NPI assigned 05/17/2006

$211K
Total Medicaid Paid
1,857
Total Claims
1,622
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENDERGRAFT, TINA (ADMINISTRATOR)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: PENDERGRAFT, TINA

ProviderCityStateTotal Paid
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SUBLETTE KS $90K
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SUBLETTE KS $10K
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SATANTA KS $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 467 $38K
2019 270 $21K
2020 174 $21K
2021 141 $18K
2022 255 $26K
2023 332 $50K
2024 218 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,771 1,547 $203K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 14 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 17 12 $252.70
99283 Emergency department visit for the evaluation and management, moderate severity 12 12 $176.44