SALEM MEMORIAL HOSPITAL
NPI: 1821243981
· SALEM, MO 65560
· 261QR1300X
$1.79M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,442 |
$278K |
| 2019 |
4,302 |
$375K |
| 2020 |
2,983 |
$261K |
| 2021 |
2,915 |
$265K |
| 2022 |
2,812 |
$178K |
| 2023 |
3,046 |
$227K |
| 2024 |
1,989 |
$207K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
12,338 |
8,443 |
$1.13M |
| 99213 |
|
7,894 |
6,903 |
$590K |
| G0463 |
Hospital outpt clinic visit |
466 |
355 |
$22K |
| 99203 |
|
136 |
127 |
$17K |
| 99204 |
|
68 |
63 |
$11K |
| 99215 |
Prolong outpt/office vis |
68 |
55 |
$9K |
| 87880 |
|
79 |
78 |
$9K |
| 99202 |
|
14 |
13 |
$1K |
| 99394 |
|
12 |
12 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
61 |
57 |
$1K |
| 96372 |
|
316 |
230 |
$815.42 |
| J1885 |
Ketorolac tromethamine inj |
37 |
26 |
$28.30 |