KEEFE MEMORIAL HEALTH SERVICE DISTRICT
NPI: 1366840688
· CHEYENNE WELLS, CO 80810
· Rural Acute Care Hospital
· NPI assigned 12/18/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: MILLSAP, CLARESSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
189 |
$7K |
| 2019 |
175 |
$11K |
| 2020 |
73 |
$4K |
| 2021 |
151 |
$4K |
| 2022 |
432 |
$11K |
| 2023 |
159 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
148 |
124 |
$29K |
| 80053 |
Comprehensive metabolic panel |
249 |
214 |
$7K |
| 86710 |
|
44 |
39 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
249 |
210 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
394 |
311 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
40 |
$523.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$213.08 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$153.08 |
| 80061 |
Lipid panel |
13 |
13 |
$112.28 |