NPI: 1396886065 · JEFFERSON CITY, MO 65109 · Family Medicine Physician · NPI assigned 02/08/2007
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 | 02/08/2007 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 316 | $10K |
| 2019 | 59 | $2K |
| 2020 | 170 | $8K |
| 2021 | 593 | $27K |
| 2022 | 891 | $53K |
| 2023 | 1,079 | $78K |
| 2024 | 886 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,629 | 2,377 | $175K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,030 | 961 | $56K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 220 | 206 | $6K |
| 87428 | 22 | 19 | $892.99 | |
| 0001A | 13 | 13 | $520.00 | |
| 0012A | 26 | 14 | $480.00 | |
| 0011A | 24 | 12 | $169.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 15 | 12 | $133.24 |
| 36415 | Collection of venous blood by venipuncture | 15 | 15 | $0.00 |