PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
NPI: 1417093949
· CAVALIER, ND 58220
· Rural Health Clinic/Center
· NPI assigned 01/30/2007
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | LETEXIER, LISA (CEO) |
| NPI Enumeration Date | 01/30/2007 |
Related Entities
Other providers sharing the same authorized official: LETEXIER, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
703 |
$52K |
| 2019 |
259 |
$17K |
| 2020 |
124 |
$7K |
| 2021 |
345 |
$20K |
| 2022 |
400 |
$25K |
| 2023 |
284 |
$25K |
| 2024 |
376 |
$25K |
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 |
1,397 |
1,178 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
340 |
$33K |
| 99307 |
|
534 |
505 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
69 |
$9K |
| 99334 |
|
34 |
25 |
$1K |