PLATEAU VALLEY HOSPITAL DISTRICT
NPI: 1609990928
· COLLBRAN, CO 81624
· Family Medicine Physician
· NPI assigned 03/19/2007
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, JESSIE (ADMINISTRATOR) |
| NPI Enumeration Date | 03/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
365 |
$24K |
| 2019 |
385 |
$25K |
| 2020 |
190 |
$13K |
| 2021 |
266 |
$20K |
| 2022 |
184 |
$14K |
| 2023 |
301 |
$10K |
| 2024 |
136 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,553 |
1,322 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
149 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
56 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$64.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$44.36 |