MADISON MEMORIAL HOSPITAL
NPI: 1346643038
· REXBURG, ID 83440
· Primary Care Clinic/Center
· NPI assigned 10/08/2014
$1.17M
Total Medicaid Paid
Provider Details
| Authorized Official | GONZALES, RACHEL (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | MADISON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 10/08/2014 |
Related Entities
Other providers sharing the same authorized official: GONZALES, RACHEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,048 |
$96K |
| 2019 |
1,991 |
$103K |
| 2020 |
2,355 |
$125K |
| 2021 |
3,475 |
$201K |
| 2022 |
3,488 |
$231K |
| 2023 |
3,100 |
$222K |
| 2024 |
2,733 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,290 |
12,098 |
$602K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,612 |
5,534 |
$472K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
482 |
479 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
626 |
623 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
152 |
$8K |
| 95811 |
|
14 |
12 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |