Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY

NPI: 1790976538 · GUYMON, OK 73942 · Medical Specialty Clinic/Center · NPI assigned 08/07/2007

$9K
Total Medicaid Paid
180
Total Claims
169
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialZINN, TROY (CEO)
NPI Enumeration Date08/07/2007

Related Entities

Other providers sharing the same authorized official: ZINN, TROY

ProviderCityStateTotal Paid
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY GUYMON OK $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 94 83 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 42 $712.32
90472 Immunization administration, each additional vaccine (list separately) 15 15 $559.68
90686 16 16 $0.00