LAWRENCE MEMORIAL HOSPITAL
NPI: 1548514029
· IMBODEN, AR 72434
· Primary Care Clinic/Center
· NPI assigned 11/05/2012
$853.86
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, VANESSA (CFO) |
| Parent Organization | LAWRENCE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 11/05/2012 |
Related Entities
Other providers sharing the same authorized official: WAGNER, VANESSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
448 |
$853.86 |
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 |
422 |
340 |
$828.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$24.90 |