PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY
NPI: 1649283870
· MOUNT VERNON, IL 62864
· Rural Health Clinic/Center
· NPI assigned 08/15/2006
$525K
Total Medicaid Paid
Provider Details
| Authorized Official | GUPTA, VEENA (CEO) |
| NPI Enumeration Date | 08/15/2006 |
Related Entities
Other providers sharing the same authorized official: GUPTA, VEENA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,718 |
$140K |
| 2019 |
7,996 |
$222K |
| 2020 |
3,468 |
$162K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,574 |
4,208 |
$525K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,637 |
3,221 |
$316.02 |
| 36415 |
Collection of venous blood by venipuncture |
839 |
698 |
$36.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
73 |
37 |
$0.00 |
| 99173 |
|
135 |
76 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
400 |
$0.00 |
| 81000 |
|
161 |
84 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
76 |
$0.00 |