ALLEGHANY MEMORIAL HOSPITAL
NPI: 1760515357
· SPARTA, NC 28675
· Critical Access Hospital
· NPI assigned 03/13/2007
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | TUCKER, JULIE (CONTROLLER/COMPLIANCE OFFICER) |
| NPI Enumeration Date | 03/13/2007 |
Related Entities
Other providers sharing the same authorized official: TUCKER, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
348 |
$6K |
| 2019 |
207 |
$7K |
| 2020 |
972 |
$28K |
| 2021 |
2,875 |
$60K |
| 2022 |
4,349 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
782 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,148 |
843 |
$40K |
| 99199 |
Unlisted special service, procedure or report |
5,901 |
5,728 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
288 |
188 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
25 |
$579.69 |
| 90686 |
|
63 |
42 |
$131.67 |
| 92551 |
|
30 |
27 |
$10.42 |
| 99173 |
|
102 |
82 |
$5.00 |
| 90756 |
|
37 |
14 |
$0.00 |