BISBEE HOSPITAL ASSOCIATION
NPI: 1790182871
· DOUGLAS, AZ 85607
· Clinic/Center
· NPI assigned 12/04/2014
$149K
Total Medicaid Paid
Provider Details
| Authorized Official | DICKSON, JAMES (CEO) |
| NPI Enumeration Date | 12/04/2014 |
Related Entities
Other providers sharing the same authorized official: DICKSON, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
112 |
$16K |
| 2023 |
2,203 |
$133K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
668 |
594 |
$149K |
| 3075F |
|
120 |
117 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
169 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
290 |
$0.00 |
| 3079F |
|
106 |
102 |
$0.00 |
| 3074F |
|
318 |
292 |
$0.00 |
| 3080F |
|
17 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
46 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$0.00 |
| 3078F |
|
417 |
376 |
$0.00 |
| 3077F |
|
117 |
110 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |