NPI: 1669856829 · JEFFERSON CITY, MO 65109 · Rural Health Clinic/Center · NPI assigned 07/16/2015
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 | 07/16/2015 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 716 | $12K |
| 2019 | 1,126 | $24K |
| 2020 | 2,063 | $50K |
| 2021 | 2,510 | $68K |
| 2022 | 1,715 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5,525 | 5,062 | $116K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,084 | 946 | $45K |
| 99318 | 325 | 306 | $8K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 600 | 575 | $8K |
| 99304 | 307 | 273 | $7K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 144 | 132 | $4K |
| 99305 | 91 | 79 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13 | 13 | $178.33 |
| 36415 | Collection of venous blood by venipuncture | 41 | 37 | $14.27 |