OGALLALA COMMUNITY HOSPITAL
NPI: 1366962706
· OGALLALA, NE 69153
· Rural Health Clinic/Center
· NPI assigned 06/27/2017
$515K
Total Medicaid Paid
Provider Details
| Authorized Official | GULLINGSRUD, TIMOTHY (CEO) |
| Parent Organization | BANNER HEALTH |
| NPI Enumeration Date | 06/27/2017 |
Related Entities
Other providers sharing the same authorized official: GULLINGSRUD, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,179 |
$47K |
| 2019 |
1,884 |
$96K |
| 2020 |
846 |
$69K |
| 2021 |
1,053 |
$77K |
| 2022 |
1,997 |
$108K |
| 2023 |
2,127 |
$107K |
| 2024 |
226 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,602 |
5,713 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,426 |
2,103 |
$150K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$664.50 |
| 1111F |
|
116 |
102 |
$0.27 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
78 |
75 |
$0.00 |
| 90028 |
|
61 |
36 |
$0.00 |