MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
NPI: 1598364168
· SISTERSVILLE, WV 26175
· Rural Health Clinic/Center
· NPI assigned 10/23/2020
$956K
Total Medicaid Paid
Provider Details
| Authorized Official | WESTBROCK, PAUL (VP, LEGAL AFFAIRS) |
| NPI Enumeration Date | 10/23/2020 |
Related Entities
Other providers sharing the same authorized official: WESTBROCK, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,096 |
$125K |
| 2022 |
2,888 |
$319K |
| 2023 |
1,989 |
$275K |
| 2024 |
1,357 |
$237K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,440 |
3,940 |
$954K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,440 |
1,332 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,436 |
1,263 |
$686.81 |
| 99441 |
|
14 |
12 |
$0.00 |