JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC
NPI: 1871852434
· PLAINVIEW, AR 72857
· Primary Care Clinic/Center
· NPI assigned 05/16/2012
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | PEEK, MICHAEL (CEO) |
| NPI Enumeration Date | 05/16/2012 |
Related Entities
Other providers sharing the same authorized official: PEEK, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
797 |
$18K |
| 2019 |
708 |
$15K |
| 2020 |
397 |
$9K |
| 2021 |
709 |
$17K |
| 2022 |
869 |
$22K |
| 2023 |
1,114 |
$19K |
| 2024 |
853 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,645 |
4,134 |
$107K |
| 99490 |
Ccm add 20min |
270 |
265 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
71 |
$986.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
25 |
$415.58 |
| 1159F |
|
171 |
148 |
$0.00 |
| 1160F |
|
171 |
148 |
$0.00 |
| 3078F |
|
35 |
28 |
$0.00 |
| 1126F |
|
33 |
26 |
$0.00 |
| 3074F |
|
16 |
14 |
$0.00 |