GRITMAN MEDICAL CENTER INC
NPI: 1750475380
· KENDRICK, ID 83537
· Rural Health Clinic/Center
· NPI assigned 10/03/2006
$208K
Total Medicaid Paid
Provider Details
| Authorized Official | JASPER, HARRY (CFO) |
| NPI Enumeration Date | 10/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
357 |
$27K |
| 2019 |
431 |
$36K |
| 2020 |
626 |
$60K |
| 2021 |
290 |
$29K |
| 2022 |
111 |
$14K |
| 2023 |
323 |
$32K |
| 2024 |
80 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,815 |
1,497 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
210 |
$801.46 |
| 99215 |
Prolong outpt/office vis |
62 |
50 |
$706.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
99 |
$389.44 |