PHELPS COUNTY REGIONAL MEDICAL CENTER

NPI: 1366066037 · ROLLA, MO 65401 · Rural Health Clinic/Center · NPI assigned 05/29/2020

$705K

Total Medicaid Paid

19,792

Total Claims

14,109

Beneficiaries

Codes Billed

2020-07

First Month

2024-12

Last Month

Provider Details

Authorized Official	COOK, JANA (SR. VP/CFO)
NPI Enumeration Date	05/29/2020

Other providers sharing the same authorized official: COOK, JANA

Provider	City	State	Total Paid
PCRMC MEDICAL GROUP, INC	ROLLA	MO	$11.43M
PCRMC-HEALTH SERVICES, INC.	ROLLA	MO	$995K
PHELPS COUNTY REGIONAL MEDICAL CENTER	ST. JAMES	MO	$981K
PHELPS COUNTY REGIONAL MEDICAL CENTER	SALEM	MO	$935K
PHELPS COUNTY REGIONAL MEDICAL CENTER	WAYNESVILLE	MO	$579K
PCRMC MEDICAL GROUP, INC	VIENNA	MO	$40K
PCRMC-HEALTH SERVICES, INC.	ROLLA	MO	$16K

Code	Description	Claims	Beneficiaries	Total Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	13,538	9,344	$589K
99308	Subsequent nursing facility care, per day, straightforward	1,296	1,069	$43K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	425	319	$32K
99305		370	304	$28K
T1015	Clinic visit/encounter, all-inclusive	3,962	2,884	$10K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	188	176	$3K
99318		13	13	$292.80