Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › AUBURN › DEKALB MEMORIAL HOSPITAL, INC

DEKALB MEMORIAL HOSPITAL, INC

NPI: 1467843599 · AUBURN, IN 46706 · Family Medicine Physician · NPI assigned 02/11/2015

$39K
Total Medicaid Paid
2,378
Total Claims
1,588
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialPOLKOW, CRAIG (CEO)
NPI Enumeration Date02/11/2015

Related Entities

Other providers sharing the same authorized official: POLKOW, CRAIG

ProviderCityStateTotal Paid
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $1.31M
SAINT THOMAS DEKALB HOSPITAL, LLC SMITHVILLE TN $1.05M
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $73K
DEKALB HEALTH MEMORIAL HOSPTIAL INC AUBURN IN $15K
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,378 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,306 937 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 253 85 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 76 47 $650.58
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 13 $272.92
99051 713 493 $8.99
81003 13 13 $0.00