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SOUTH LIMESTONE HOSPITAL DISTRICT
SOUTH LIMESTONE HOSPITAL DISTRICT
NPI: 1598237133
· WACO, TX 76712
· 314000000X
$481.16
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,646 |
$0.00 |
| 2022 |
4,278 |
$316.68 |
| 2023 |
1,945 |
$164.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97112 |
|
3,943 |
408 |
$259.10 |
| 97110 |
|
3,559 |
356 |
$222.06 |
| G0008 |
Admin influenza virus vac |
21 |
21 |
$0.00 |
| 90694 |
|
21 |
21 |
$0.00 |
| 97150 |
|
325 |
51 |
$0.00 |