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MISSOURI BAPTIST HOSPITAL OF SULLIVAN
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
NPI: 1396827408
· CUBA, MO 65453
· Rural Health Clinic/Center
· NPI assigned 10/19/2006
$131K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHWARM, TONY (PRESIDENT) |
| NPI Enumeration Date | 10/19/2006 |
Related Entities
Other providers sharing the same authorized official: SCHWARM, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
310 |
$28K |
| 2019 |
484 |
$51K |
| 2020 |
268 |
$33K |
| 2021 |
18 |
$2K |
| 2022 |
62 |
$5K |
| 2023 |
157 |
$9K |
| 2024 |
62 |
$4K |
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 |
956 |
845 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
108 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
165 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$690.70 |