Home ›
SD ›
VIBORG ›
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
NPI: 1720651540
· VIBORG, SD 57070
· Clinic/Center
· NPI assigned 07/20/2021
$562.98
Total Medicaid Paid
Provider Details
| Authorized Official | RUDD, TONYA (DIRECTOR OF CLINIC OPERATIONS) |
| Parent Organization | PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES |
| NPI Enumeration Date | 07/20/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$423.96 |
| 2022 |
14 |
$139.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$139.02 |
| 91307 |
|
14 |
12 |
$0.00 |