BLUE MOUNTAIN HOSPITAL DISTRICT
NPI: 1568536035
· JOHN DAY, OR 97845
· Rural Health Clinic/Center
· NPI assigned 11/17/2006
$295K
Total Medicaid Paid
Provider Details
| Authorized Official | ROBERTSON, MISTY (CEO) |
| Parent Organization | BLUE MOUNTAIN HOSPITAL DISTRICT |
| NPI Enumeration Date | 11/17/2006 |
Related Entities
Other providers sharing the same authorized official: ROBERTSON, MISTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,492 |
$84K |
| 2019 |
1,667 |
$43K |
| 2020 |
1,176 |
$23K |
| 2021 |
2,065 |
$29K |
| 2022 |
2,598 |
$38K |
| 2023 |
1,994 |
$60K |
| 2024 |
1,103 |
$19K |
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 |
8,673 |
7,509 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,086 |
2,638 |
$66K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
168 |
164 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
96 |
$613.21 |
| 90686 |
|
26 |
26 |
$529.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$371.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$50.40 |