WEST CUSTER COUNTY HOSPITAL DISTRICT
NPI: 1689672255
· WESTCLIFFE, CO 81252
· Rural Health Clinic/Center
· NPI assigned 07/08/2005
$193K
Total Medicaid Paid
Provider Details
| Authorized Official | KENNEDY, THERESA (CHIEF FINANCIAL OFFICER) |
| Parent Organization | WEST CUSTER COUNTY HOSPITAL DISTRICT |
| NPI Enumeration Date | 07/08/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
950 |
$76K |
| 2019 |
1,007 |
$80K |
| 2020 |
500 |
$37K |
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 |
1,930 |
1,670 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
318 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
104 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
51 |
$783.57 |