MADISON CO MEMORIAL HOSPITAL
NPI: 1477122570
· REXBURG, ID 83440
· Psychiatry Physician
· NPI assigned 06/22/2021
Provider Details
| Authorized Official | TANNER, JAIME (AMBULATORY REVENUE MANAGER) |
| Parent Organization | MADISON CO MEMORIAL HOSPITAL |
| NPI Enumeration Date | 06/22/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
304 |
$23K |
| 2023 |
89 |
$8K |
| 2024 |
344 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
308 |
95 |
$23K |
| 99214 |
|
222 |
186 |
$21K |
| 99232 |
|
111 |
42 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
40 |
39 |
$5K |
| 99239 |
|
56 |
55 |
$5K |