PENNOCK HOSPITAL
NPI: 1629494133
· HASTINGS, MI 49058
· Pain Medicine (Physical Medicine & Rehabilitation) Physician
· NPI assigned 03/07/2014
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | WELLER, DEIDRE (CONTROLLER) |
| Parent Organization | PENNOCK HOSPITAL |
| NPI Enumeration Date | 03/07/2014 |
Related Entities
Other providers sharing the same authorized official: WELLER, DEIDRE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,024 |
$112K |
| 2019 |
129 |
$5K |
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 |
1,466 |
1,314 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
476 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
248 |
$14K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
368 |
347 |
$6K |
| 20610 |
|
217 |
198 |
$6K |
| 95886 |
|
73 |
71 |
$5K |
| 64493 |
|
26 |
24 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
148 |
146 |
$2K |
| 73562 |
|
72 |
69 |
$1K |
| 64494 |
|
27 |
24 |
$1K |