MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
NPI: 1437758034
· SAINT MARYS, WV 26170
· Rural Health Clinic/Center
· NPI assigned 10/23/2020
$1.50M
Total Medicaid Paid
Provider Details
| Authorized Official | WESTBROCK, PAUL (VP, LEGAL AFFAIRS) |
| NPI Enumeration Date | 10/23/2020 |
Related Entities
Other providers sharing the same authorized official: WESTBROCK, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
907 |
$88K |
| 2022 |
3,502 |
$336K |
| 2023 |
4,359 |
$463K |
| 2024 |
5,511 |
$612K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,317 |
6,439 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,833 |
4,257 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
993 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
150 |
$236.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
205 |
191 |
$65.97 |
| 3074F |
|
158 |
143 |
$0.00 |
| 1036F |
|
86 |
76 |
$0.00 |
| 3008F |
|
291 |
261 |
$0.00 |
| 3078F |
|
86 |
75 |
$0.00 |