SANTIAM MEMORIAL HOSPITAL
NPI: 1790171874
· STAYTON, OR 97383
· 261QR1300X
$251K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,219 |
$75K |
| 2019 |
972 |
$67K |
| 2020 |
1,194 |
$16K |
| 2021 |
4,564 |
$24K |
| 2022 |
4,794 |
$26K |
| 2023 |
3,490 |
$22K |
| 2024 |
652 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,527 |
2,970 |
$127K |
| 99214 |
|
2,921 |
2,471 |
$114K |
| 90686 |
|
151 |
149 |
$3K |
| 99215 |
Prolong outpt/office vis |
235 |
165 |
$3K |
| 96127 |
|
270 |
247 |
$1K |
| 90471 |
|
65 |
65 |
$1K |
| 90682 |
|
22 |
20 |
$816.60 |
| 99212 |
|
14 |
13 |
$703.86 |
| G2211 |
Complex e/m visit add on |
59 |
53 |
$443.62 |
| 36415 |
|
47 |
40 |
$24.74 |
| 3078F |
|
1,808 |
1,531 |
$0.01 |
| 3074F |
|
2,128 |
1,815 |
$0.01 |
| 3008F |
|
2,889 |
2,415 |
$0.01 |
| 3079F |
|
440 |
409 |
$0.00 |
| 1036F |
|
2,268 |
1,876 |
$0.00 |
| 3075F |
|
41 |
38 |
$0.00 |