HAMMOND HENRY DIST HOSPITAL
NPI: 1770152779
· CAMBRIDGE, IL 61238
· Rural Health Clinic/Center
· NPI assigned 06/23/2021
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | CRISWELL, JODIE (VP OF FISCAL SERVICES) |
| NPI Enumeration Date | 06/23/2021 |
Related Entities
Other providers sharing the same authorized official: CRISWELL, JODIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
696 |
$37K |
| 2023 |
1,107 |
$65K |
| 2024 |
509 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,525 |
1,378 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
117 |
$468.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
603 |
$147.66 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |