NPI: 1841393493 · AVOCA, IA 51521 · Rural Health Clinic/Center · NPI assigned 09/07/2006
| Authorized Official | JACOBSEN, BARRY (CEO) |
| Parent Organization | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 09/07/2006 |
Other providers sharing the same authorized official: JACOBSEN, BARRY
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $6.23M |
| SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $3.36M |
| SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $2.94M |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $1.51M |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | SHELBY | IA | $489K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | EARLING | IA | $396K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | ELK HORN | IA | $66K |
| SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL | HARLAN | IA | $90.87 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 724 | $35K |
| 2019 | 676 | $33K |
| 2020 | 338 | $21K |
| 2021 | 1,107 | $53K |
| 2022 | 1,306 | $60K |
| 2023 | 1,066 | $55K |
| 2024 | 675 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,584 | 3,312 | $294K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,964 | 1,861 | $930.22 |
| 90686 | 28 | 28 | $53.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 29 | 29 | $20.56 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 141 | 134 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 120 | 115 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 26 | 25 | $0.00 |