COMMUNITY MEMORIAL HOSPITAL, INC
NPI: 1447293196
· BURKE, SD 57523
· Rural Health Clinic/Center
· NPI assigned 06/13/2006
$326K
Total Medicaid Paid
Provider Details
| Authorized Official | DREY, MISTIE (CEO) |
| NPI Enumeration Date | 06/13/2006 |
Related Entities
Other providers sharing the same authorized official: DREY, MISTIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
620 |
$54K |
| 2019 |
616 |
$53K |
| 2020 |
279 |
$27K |
| 2021 |
674 |
$46K |
| 2022 |
648 |
$50K |
| 2023 |
816 |
$49K |
| 2024 |
653 |
$47K |
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 |
3,304 |
2,527 |
$294K |
| W0037 |
|
843 |
843 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
52 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
30 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 90686 |
|
48 |
46 |
$1K |