CABUN RURAL HEALTH SERVICES, INC

NPI: 1376583757 · HOPE, AR 71801 · Family Medicine Physician · NPI assigned 06/07/2006

$510.72

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2019-09

First Month

2019-09

Last Month

Provider Details

Authorized Official	JOHNSTON, SUSAN (BILLING SUPERVISOR)
NPI Enumeration Date	06/07/2006

Other providers sharing the same authorized official: JOHNSTON, SUSAN

Provider	City	State	Total Paid
CABUN RURAL HEALTH SERVICES, INC.	HAMPTON	AR	$6.62M
CABUN RURAL HEALTH SERVICES, INC	STRONG	AR	$7K
CABUN RURAL HEALTH SERVICES, INC	LEWISVILLE	AR	$3K
CABUN RURAL HEALTH SERVICES, INC	BEARDEN	AR	$319.20
CABUN RURAL HEALTH SERVICES, INC	AMITY	AR	$159.60

Year	Claims	Total Paid
2019	41	$510.72

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	21	16	$510.72
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20	16	$0.00