STATE OF MISSOURI
NPI: 1336193895
· MARSHALL, MO 65340
· General Practice Physician
· NPI assigned 05/20/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BOECKMANN, MOLLY controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | BOECKMANN, MOLLY (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Parent Organization | STATE OF MISSOURI |
| NPI Enumeration Date | 05/20/2006 |
Related Entities
Other providers sharing the same authorized official: BOECKMANN, MOLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,105 |
$19K |
| 2019 |
1,407 |
$22K |
| 2020 |
641 |
$16K |
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 |
2,389 |
1,811 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
476 |
347 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
62 |
$988.18 |
| 93000 |
|
151 |
107 |
$940.82 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
48 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |