PANA COMMUNITY HOSPITAL ASSOCIATION
NPI: 1720710437
· COWDEN, IL 62422
· Family Medicine Physician
· NPI assigned 06/30/2022
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | MOON, JAMES (CFO) |
| NPI Enumeration Date | 06/30/2022 |
Related Entities
Other providers sharing the same authorized official: MOON, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,870 |
$66K |
| 2024 |
2,155 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,356 |
1,865 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
853 |
743 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
187 |
$0.00 |
| 99442 |
|
611 |
513 |
$0.00 |