MISSOURI BAPTIST HOSPITAL OF SULLIVAN
NPI: 1851841332
· SULLIVAN, MO 63080
· Multi-Specialty Clinic/Center
· NPI assigned 10/10/2016
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHWARM, TONY (PRESIDENT) |
| NPI Enumeration Date | 10/10/2016 |
Related Entities
Other providers sharing the same authorized official: SCHWARM, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
787 |
$8K |
| 2021 |
1,645 |
$17K |
| 2022 |
1,946 |
$28K |
| 2023 |
1,879 |
$26K |
| 2024 |
1,424 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
697 |
690 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,752 |
1,724 |
$31K |
| 76818 |
|
357 |
148 |
$24K |
| 81003 |
|
4,285 |
2,593 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
143 |
$5K |
| 87807 |
|
339 |
336 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$2K |
| 90686 |
|
30 |
30 |
$323.40 |
| 81025 |
|
14 |
14 |
$129.30 |