Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SID PETERSON MEMORIAL HOSPITAL

NPI: 1376129296 · KERRVILLE, TX 78028 · Rural Health Clinic/Center · NPI assigned 03/22/2021

$9K
Total Medicaid Paid
4,317
Total Claims
2,763
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALLESTEROS, CHRISTOPHER (REV CYCLE DIRECTOR, PRIVACY OFFICER)
NPI Enumeration Date03/22/2021

Related Entities

Other providers sharing the same authorized official: BALLESTEROS, CHRISTOPHER

ProviderCityStateTotal Paid
CEL VENTURES, LLC LAS VEGAS NV $251K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 479 $210.53
2023 2,930 $7K
2024 908 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 169 157 $5K
T1015 Clinic visit/encounter, all-inclusive 4,110 2,581 $4K
99406 26 13 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $0.00