SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI: 1518008218
· GREEN CITY, MO 63545
· Rural Health Clinic/Center
· NPI assigned 02/08/2007
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | MICHAEL, AMY (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 02/08/2007 |
Related Entities
Other providers sharing the same authorized official: MICHAEL, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
450 |
$46K |
| 2019 |
387 |
$44K |
| 2020 |
158 |
$15K |
| 2021 |
14 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
808 |
632 |
$89K |
| 98927 |
|
189 |
129 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$2K |