ELYSIAN MEDICAL CENTER 1-HOLLISTER LLC
NPI: 1689387433
· HOLLISTER, MO 65672
· Urgent Care Clinic/Center
· NPI assigned 12/26/2022
Provider Details
| Authorized Official | WILSON, SARA (DIRECTOR) |
| NPI Enumeration Date | 12/26/2022 |
Related Entities
Other providers sharing the same authorized official: WILSON, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
91 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
50 |
$7K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
36 |
30 |
$570.00 |