SHENANDOAH MEDICAL CENTER
NPI: 1508487547
· TABOR, IA 51653
· Rural Health Clinic/Center
· NPI assigned 04/30/2020
$194K
Total Medicaid Paid
1,642
Beneficiary Records
Provider Details
| Authorized Official | WILSON, KILEY (EOB CASH SPECIALIST) |
| NPI Enumeration Date | 04/30/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$4K |
| 2022 |
236 |
$23K |
| 2023 |
997 |
$86K |
| 2024 |
734 |
$80K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,385 |
1,137 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
452 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$43.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
14 |
$0.00 |