Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JEFFERSON COUNTY MEMORIAL HOSPITAL, INC

NPI: 1750354908 · WINCHESTER, KS 66097 · Physician Assistant · NPI assigned 02/08/2006

$20K
Total Medicaid Paid
700
Total Claims
653
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCOOK, LAMONT (CEO)
NPI Enumeration Date02/08/2006

Related Entities

Other providers sharing the same authorized official: COOK, LAMONT

ProviderCityStateTotal Paid
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC WINCHESTER KS $4K
WEBSTER COUNTY COMMUNITY HOSPITAL BLUE HILL NE $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $6K
2019 197 $7K
2020 30 $857.64
2021 44 $0.00
2022 131 $3K
2023 69 $715.19
2024 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 524 477 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 24 $342.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 15 $212.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $82.50
0134A 15 15 $0.00
G0008 Administration of influenza virus vaccine 49 49 $0.00
90694 15 15 $0.00
0004A 14 14 $0.00
90662 32 32 $0.00