MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
NPI: 1508465162
· MIDDLEBOURNE, WV 26149
· Rural Health Clinic/Center
· NPI assigned 10/23/2020
$196K
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 |
398 |
$25K |
| 2022 |
1,044 |
$74K |
| 2023 |
480 |
$52K |
| 2024 |
330 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,539 |
1,300 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
460 |
$266.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
146 |
$130.86 |