MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
NPI: 1720163025
· FREDERICKTOWN, MO 63645
· Critical Access Hospital
· NPI assigned 10/26/2006
$2.59M
Total Medicaid Paid
Provider Details
| Authorized Official | TWIDWELL, LISA (CFO) |
| NPI Enumeration Date | 10/26/2006 |
Related Entities
Other providers sharing the same authorized official: TWIDWELL, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,827 |
$530K |
| 2019 |
2,913 |
$458K |
| 2020 |
2,566 |
$251K |
| 2021 |
2,383 |
$90K |
| 2022 |
5,193 |
$395K |
| 2023 |
5,041 |
$492K |
| 2024 |
3,089 |
$372K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,395 |
7,862 |
$1.54M |
| X4011 |
|
1,860 |
1,691 |
$353K |
| 80053 |
|
3,546 |
3,299 |
$182K |
| 85025 |
|
3,110 |
2,892 |
$159K |
| 99282 |
|
558 |
435 |
$56K |
| 87502 |
|
397 |
387 |
$43K |
| 80061 |
|
437 |
422 |
$39K |
| 87635 |
|
736 |
688 |
$28K |
| 87651 |
|
321 |
310 |
$26K |
| 93005 |
|
215 |
196 |
$21K |
| 84443 |
|
294 |
280 |
$20K |
| 87400 |
|
147 |
133 |
$19K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
738 |
706 |
$19K |
| 81003 |
|
163 |
155 |
$17K |
| 99284 |
|
100 |
57 |
$13K |
| 87081 |
|
71 |
68 |
$11K |
| Y7506 |
|
107 |
83 |
$10K |
| 83036 |
|
156 |
152 |
$10K |
| 80074 |
|
41 |
41 |
$6K |
| 82306 |
|
75 |
73 |
$6K |
| 83655 |
|
39 |
39 |
$5K |
| 71046 |
|
39 |
37 |
$3K |
| J3490 |
Unclassified drugs |
131 |
123 |
$3K |
| 80307 |
|
29 |
14 |
$2K |
| 84439 |
|
110 |
107 |
$1K |
| 87088 |
|
13 |
12 |
$1K |
| 84481 |
|
53 |
51 |
$1K |
| 87634 |
|
12 |
12 |
$565.02 |
| 84436 |
|
15 |
13 |
$338.65 |
| 84484 |
|
54 |
50 |
$323.24 |
| 99211 |
|
12 |
12 |
$57.75 |
| 82550 |
|
12 |
12 |
$51.26 |
| 36415 |
|
26 |
24 |
$0.00 |