DOOR COUNTY MEMORIAL HOSPITAL
NPI: 1508198961
· SISTER BAY, WI 54234
· Rural Health Clinic/Center
· NPI assigned 02/09/2010
Provider Details
Related Entities
Other providers sharing the same authorized official: LALUZERNE, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$1K |
| 2020 |
26 |
$976.85 |
| 2021 |
101 |
$4K |
| 2022 |
127 |
$6K |
| 2023 |
53 |
$2K |
| 2024 |
56 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
196 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
145 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
24 |
24 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$832.75 |