WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC
NPI: 1598292377
· SPRINGERVILLE, AZ 85938
· Clinic/Center
· NPI assigned 05/11/2017
$309K
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, TRACY (CLINIC MANAGER) |
| Parent Organization | WHITE MOUNTAIN REGIONAL MEDICAL CENTER |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
20 |
$11K |
| 2023 |
406 |
$201K |
| 2024 |
125 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
416 |
356 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
42 |
$281.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
84 |
$129.80 |