NPI: 1366469132 · GILMAN, IL 60938 · Rural Health Clinic/Center · NPI assigned 07/16/2006
| Authorized Official | SMITH, TIMOTHY (COO) |
| NPI Enumeration Date | 07/16/2006 |
Other providers sharing the same authorized official: SMITH, TIMOTHY
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKEWOOD FAMILY MEDICINE PLC | HOLLAND | MI | $1.38M |
| GRACE PRIMARY CARE, PC | HUNTSVILLE | TN | $1.22M |
| IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | KENTLAND | IN | $735K |
| IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | MILFORD | IL | $569K |
| BREATHITT COUNTY HOME MEDICAL LLC | JACKSON | KY | $51K |
| VFD LTD | LOS LUNAS | NM | $25K |
| CORNERSTONE HEALTHCARE ASSOCIATES LLC | COLUMBUS | OH | $18K |
| TIMOTHY W SMITH DMD LLC | HANCEVILLE | AL | $10K |
| TIMOTHY J. SMITH, O.D.,P.C. | LIBERTY | MO | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,988 | $89K |
| 2019 | 6,026 | $200K |
| 2020 | 3,283 | $141K |
| 2021 | 3,071 | $141K |
| 2022 | 2,648 | $123K |
| 2023 | 2,121 | $100K |
| 2024 | 1,750 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,503 | 9,311 | $868K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,875 | 3,125 | $10K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,063 | 2,848 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 45 | 27 | $192.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 215 | 192 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14 | 13 | $0.00 |
| 96127 | 172 | 161 | $0.00 |