AVERA QUEEN OF PEACE
NPI: 1326283797
· MITCHELL, SD 57301
· Obstetrics & Gynecology Physician
· NPI assigned 12/12/2008
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ROCKWELL, HILARY controls 14+ related entities in our dataset. Read more
$971.76
Total Medicaid Paid
Provider Details
| Authorized Official | ROCKWELL, HILARY (REGIONAL PRESIDENT/CEO) |
| Parent Organization | AVERA HEALTH |
| NPI Enumeration Date | 12/12/2008 |
Related Entities
Other providers sharing the same authorized official: ROCKWELL, HILARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
58 |
$971.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$493.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$255.24 |
| 90688 |
|
15 |
15 |
$222.62 |