MEMORIAL HOSPITAL ASSOCIATION
NPI: 1437100831
· BOWEN, IL 62316
· Rural Health Clinic/Center
· NPI assigned 05/12/2006
$223K
Total Medicaid Paid
Provider Details
| Authorized Official | BAIR, ADA (CEO) |
| Parent Organization | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 05/12/2006 |
Related Entities
Other providers sharing the same authorized official: BAIR, ADA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$2K |
| 2019 |
2,764 |
$78K |
| 2020 |
2,252 |
$112K |
| 2021 |
578 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,192 |
1,435 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,233 |
975 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
29 |
$0.00 |
| 81003 |
|
100 |
63 |
$0.00 |