MEMORIAL HOSPITAL ASSOCIATION
NPI: 1699228882
· COLCHESTER, IL 62326
· Rural Health Clinic/Center
· NPI assigned 07/25/2016
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, TERESA (CFO) |
| Parent Organization | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 07/25/2016 |
Related Entities
Other providers sharing the same authorized official: SMITH, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,910 |
$55K |
| 2020 |
1,171 |
$66K |
| 2021 |
234 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,064 |
1,009 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,189 |
540 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
14 |
$0.00 |