CITY OF SISTERSVILLE
NPI: 1538485230
· MIDDLEBOURNE, WV 26149
· Rural Health Clinic/Center
· NPI assigned 04/20/2010
$207K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CHADOCK, BRANDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,442 |
$74K |
| 2019 |
739 |
$38K |
| 2020 |
943 |
$64K |
| 2021 |
504 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,104 |
1,814 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,204 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
93 |
$156.96 |