MASSAC MEMORIAL HOSPITAL
NPI: 1356968275
· METROPOLIS, IL 62960
· Clinic/Center
· NPI assigned 06/26/2020
$635K
Total Medicaid Paid
Provider Details
| Authorized Official | GOINES, LYNN (CFO) |
| NPI Enumeration Date | 06/26/2020 |
Related Entities
Other providers sharing the same authorized official: GOINES, LYNN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
157 |
$7K |
| 2021 |
2,612 |
$77K |
| 2022 |
4,623 |
$164K |
| 2023 |
4,280 |
$195K |
| 2024 |
3,725 |
$192K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,131 |
6,812 |
$635K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,533 |
4,624 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
263 |
252 |
$0.00 |
| 96127 |
|
1,344 |
1,244 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
71 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90656 |
|
14 |
13 |
$0.00 |