NPI: 1396782587 · JEFFERSON CITY, MO 65109 · Clinic/Center · NPI assigned 05/31/2006
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO) |
| Parent Organization | SSM REGIONAL HEALTH SERVICES |
| NPI Enumeration Date | 05/31/2006 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,941 | $169K |
| 2021 | 11,253 | $536K |
| 2022 | 11,077 | $666K |
| 2023 | 10,376 | $726K |
| 2024 | 5,302 | $395K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14,252 | 13,524 | $875K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,548 | 7,254 | $662K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,194 | 3,175 | $290K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,352 | 2,155 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,600 | 1,591 | $149K |
| 87428 | 1,390 | 1,362 | $86K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4,879 | 4,762 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 671 | 662 | $62K |
| 90686 | 1,912 | 1,908 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 510 | 487 | $21K |
| 90723 | 516 | 515 | $18K | |
| 90670 | 1,174 | 1,169 | $13K | |
| 90647 | 557 | 555 | $6K | |
| 90677 | 327 | 327 | $3K | |
| 90680 | 233 | 232 | $2K | |
| 90656 | 127 | 127 | $2K | |
| 90633 | 155 | 155 | $2K | |
| 90672 | 111 | 111 | $1K | |
| 87807 | 110 | 108 | $1K | |
| 90734 | 64 | 64 | $844.57 | |
| 90651 | 110 | 110 | $794.51 | |
| 0001A | 15 | 15 | $600.00 | |
| 90685 | 51 | 51 | $568.35 | |
| 90681 | 38 | 38 | $451.02 | |
| 90710 | 12 | 12 | $371.87 | |
| 90620 | 41 | 41 | $291.42 |