MANSFIELD CLINIC, INC.
NPI: 1811036791
· MANSFIELD, MO 65704
· Rural Health Clinic/Center
· NPI assigned 02/06/2007
$851K
Total Medicaid Paid
Provider Details
| Authorized Official | DUGAN, KENNETH (VICE PRESIDENT) |
| NPI Enumeration Date | 02/06/2007 |
Related Entities
Other providers sharing the same authorized official: DUGAN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,378 |
$240K |
| 2019 |
3,469 |
$244K |
| 2020 |
1,934 |
$138K |
| 2021 |
936 |
$55K |
| 2022 |
763 |
$57K |
| 2023 |
675 |
$57K |
| 2024 |
744 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,344 |
7,009 |
$694K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,244 |
1,918 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
162 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
113 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |