SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI: 1619065828
· MILAN, MO 63556
· Rural Health Clinic/Center
· NPI assigned 10/11/2006
$710K
Total Medicaid Paid
Provider Details
| Authorized Official | MICHAEL, AMY (CHIEF OPERATING OFFICER) |
| Parent Organization | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 10/11/2006 |
Related Entities
Other providers sharing the same authorized official: MICHAEL, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,954 |
$180K |
| 2019 |
1,861 |
$157K |
| 2020 |
1,348 |
$92K |
| 2021 |
1,277 |
$67K |
| 2022 |
1,498 |
$87K |
| 2023 |
1,537 |
$88K |
| 2024 |
846 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,527 |
2,621 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,482 |
2,952 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
897 |
$116K |
| 99307 |
|
2,128 |
1,840 |
$56K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
180 |
153 |
$10K |