NPI: 1659327393 · BELLE, MO 65013 · Clinic/Center · NPI assigned 05/25/2006
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (REGIONAL VICE PRESIDENT-FINANCE/CFO) |
| Parent Organization | SSM REGIONAL HEALTH SERVICES |
| NPI Enumeration Date | 05/25/2006 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,172 | $139K |
| 2019 | 1,004 | $122K |
| 2020 | 516 | $63K |
| 2021 | 417 | $45K |
| 2022 | 83 | $8K |
| 2023 | 128 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,479 | 2,204 | $300K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 811 | 761 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 30 | 29 | $5K |