WEST RIVER HEALTH SERVICES
NPI: 1588763247
· HETTINGER, ND 58639
· Critical Access Hospital
· NPI assigned 09/21/2006
$566.47
Total Medicaid Paid
Provider Details
| Authorized Official | STADHEIM, NATHAN (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 09/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$10.02 |
| 2022 |
38 |
$556.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$277.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$201.19 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
25 |
$87.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
13 |
$0.00 |