Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › SUBLETTE › SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

NPI: 1881646735 · SUBLETTE, KS 67877 · Family Medicine Physician · NPI assigned 05/17/2006

$90K
Total Medicaid Paid
889
Total Claims
801
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPENDERGRAFT, TINA (ADMINISTRATOR)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: PENDERGRAFT, TINA

ProviderCityStateTotal Paid
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SATANTA KS $211K
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SUBLETTE KS $10K
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE SATANTA KS $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 193 $18K
2019 144 $14K
2020 52 $5K
2021 12 $1K
2022 142 $14K
2023 219 $23K
2024 127 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 860 774 $86K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 27 $3K