JULIA RACKLEY PERRY MEMORIAL HOSPITAL
NPI: 1699229823
· PRINCETON, IL 61356
· 261QR1300X
$268K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$11K |
| 2019 |
3,005 |
$79K |
| 2020 |
2,906 |
$116K |
| 2021 |
1,524 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
3,862 |
2,357 |
$265K |
| 90832 |
|
631 |
332 |
$2K |
| G2012 |
Brief check in by md/qhp |
42 |
41 |
$488.03 |
| 99213 |
|
1,545 |
1,006 |
$354.27 |
| 99214 |
|
796 |
484 |
$334.38 |
| 80305 |
|
439 |
284 |
$179.60 |
| 99202 |
|
156 |
95 |
$0.00 |
| 87804 |
|
90 |
76 |
$0.00 |
| 87880 |
|
84 |
67 |
$0.00 |
| 99203 |
|
12 |
12 |
$0.00 |