SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI: 1780927871
· POPLAR BLUFF, MO 63901
· Family Medicine Physician
· NPI assigned 03/27/2013
$813K
Total Medicaid Paid
Provider Details
| Authorized Official | BERRY, KRISTA (CFO) |
| NPI Enumeration Date | 03/27/2013 |
Related Entities
Other providers sharing the same authorized official: BERRY, KRISTA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,487 |
$129K |
| 2019 |
3,637 |
$181K |
| 2020 |
2,594 |
$118K |
| 2021 |
2,502 |
$112K |
| 2022 |
1,995 |
$95K |
| 2023 |
2,167 |
$90K |
| 2024 |
2,089 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
10,555 |
9,044 |
$499K |
| 99214 |
|
5,818 |
4,876 |
$308K |
| 99212 |
|
108 |
88 |
$4K |
| 90686 |
|
120 |
92 |
$1K |
| 96372 |
|
692 |
648 |
$927.66 |
| G0008 |
Administration of influenza virus vaccine |
112 |
95 |
$12.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
53 |
52 |
$0.00 |