Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › CENTRALIA › BOONE PHYSICIAN SERVICES, LLC

BOONE PHYSICIAN SERVICES, LLC

NPI: 1619648532 · CENTRALIA, MO 65240 · Rural Health Clinic/Center · NPI assigned 09/21/2021

$2K
Total Medicaid Paid
75
Total Claims
61
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialWINN, BRIAN (DIRECTOR OF FINANCE)
NPI Enumeration Date09/21/2021

Related Entities

Other providers sharing the same authorized official: WINN, BRIAN

ProviderCityStateTotal Paid
BOONE PHYSICIAN SERVICES, LLC COLUMBIA MO $1.84M
SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A. SAN ANTONIO TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $734.62
2019 17 $264.35
2020 16 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 75 61 $2K