ST. MARGARET'S HEALTH-PERU
NPI: 1861865370
· LA SALLE, IL 61301
· Rural Health Clinic/Center
· NPI assigned 11/05/2015
$200K
Total Medicaid Paid
Provider Details
| Authorized Official | BONNELL, DORINDA (DIRECTOR OF PHYSICIAN PRACTICES) |
| Parent Organization | ST. MARGARET'S HEALTH-PERU |
| NPI Enumeration Date | 11/05/2015 |
Related Entities
Other providers sharing the same authorized official: BONNELL, DORINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
475 |
$21K |
| 2019 |
1,520 |
$49K |
| 2020 |
807 |
$42K |
| 2021 |
975 |
$47K |
| 2022 |
1,767 |
$34K |
| 2023 |
85 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,203 |
2,401 |
$200K |
| 1036F |
|
154 |
147 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
83 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,004 |
711 |
$0.00 |
| 3008F |
|
203 |
196 |
$0.00 |
| 3074F |
|
182 |
174 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 3078F |
|
151 |
145 |
$0.00 |
| 1159F |
|
295 |
279 |
$0.00 |
| 1160F |
|
295 |
279 |
$0.00 |
| 3725F |
|
13 |
12 |
$0.00 |