SIBLEY MEDICAL CENTER
NPI: 1871553289
· GAYLORD, MN 55334
· Rural Health Clinic/Center
· NPI assigned 03/28/2006
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | PHELPS, MICHAEL (PRESIENT/CEO) |
| NPI Enumeration Date | 03/28/2006 |
Related Entities
Other providers sharing the same authorized official: PHELPS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
129 |
$4K |
| 2019 |
263 |
$7K |
| 2020 |
203 |
$6K |
| 2021 |
162 |
$7K |
| 2022 |
405 |
$30K |
| 2023 |
645 |
$54K |
| 2024 |
551 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,535 |
1,091 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
650 |
424 |
$60K |
| 91322 |
|
12 |
12 |
$2K |
| 90480 |
|
12 |
12 |
$447.59 |
| 90686 |
|
61 |
61 |
$19.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$0.00 |