SUSAN B. ALLEN MEMORIAL HOSPITAL
NPI: 1588156574
· EL DORADO, KS 67042
· 261QU0200X
$162K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
703 |
$18K |
| 2020 |
600 |
$17K |
| 2021 |
766 |
$18K |
| 2022 |
1,313 |
$35K |
| 2023 |
1,461 |
$39K |
| 2024 |
1,298 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,214 |
4,822 |
$137K |
| 99212 |
|
619 |
577 |
$13K |
| 99214 |
|
170 |
154 |
$7K |
| 99203 |
|
57 |
55 |
$3K |
| 87651 |
|
52 |
49 |
$1K |
| 87502 |
|
16 |
16 |
$949.16 |
| 87635 |
|
13 |
13 |
$471.45 |