PEMISCOT COUNTY MEMORIAL HOSPITAL
NPI: 1699873372
· PORTAGEVILLE, MO 63873
· Rural Health Clinic/Center
· NPI assigned 09/20/2006
$207K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, MARK (CEO) |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,489 |
$112K |
| 2019 |
1,120 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
|
1,205 |
1,072 |
$88K |
| 99213 |
|
1,111 |
1,009 |
$82K |
| 90832 |
|
271 |
241 |
$32K |
| 90792 |
|
22 |
22 |
$5K |