MONTGOMERY GENERAL HOSPITAL, INC
NPI: 1548890221
· MONTGOMERY, WV 25136
· Pediatrics Physician
· NPI assigned 01/22/2020
$2.28M
Total Medicaid Paid
Provider Details
| Authorized Official | MURRAY, SHERRI (CFO) |
| Parent Organization | MONTGOMERY GENERAL HOSPITAL, INC |
| NPI Enumeration Date | 01/22/2020 |
Related Entities
Other providers sharing the same authorized official: MURRAY, SHERRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12,012 |
$151K |
| 2022 |
15,623 |
$762K |
| 2023 |
12,392 |
$666K |
| 2024 |
11,904 |
$695K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,285 |
16,036 |
$2.27M |
| 99213 |
|
13,781 |
10,414 |
$5K |
| 99391 |
|
675 |
609 |
$140.84 |
| 99392 |
|
1,025 |
981 |
$72.74 |
| 87880 |
|
493 |
472 |
$15.62 |
| 99214 |
|
733 |
612 |
$5.00 |
| 99394 |
|
678 |
638 |
$5.00 |
| 81002 |
|
150 |
143 |
$3.13 |
| 99173 |
|
1,634 |
1,515 |
$1.87 |
| 99384 |
|
395 |
359 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
134 |
122 |
$0.00 |
| 90471 |
|
2,656 |
2,513 |
$0.00 |
| 96110 |
|
1,102 |
1,007 |
$0.00 |
| 99441 |
|
295 |
273 |
$0.00 |
| 81000 |
|
299 |
267 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 96372 |
|
39 |
32 |
$0.00 |
| 99393 |
|
977 |
934 |
$0.00 |
| 90472 |
|
1,468 |
1,383 |
$0.00 |
| 99442 |
|
584 |
546 |
$0.00 |
| 96160 |
|
160 |
130 |
$0.00 |
| 92552 |
|
2,054 |
1,912 |
$0.00 |
| 87804 |
|
163 |
161 |
$0.00 |
| 99212 |
|
107 |
94 |
$0.00 |
| 81025 |
|
30 |
24 |
$0.00 |