PIKE COUNTY MEMORIAL HOSPITAL
NPI: 1891201331
· VANDALIA, MO 63382
· Family Medicine Physician
· NPI assigned 12/20/2017
$344.24
Total Medicaid Paid
Provider Details
| Authorized Official | SELLE, JUSTIN (CEO) |
| NPI Enumeration Date | 12/20/2017 |
Related Entities
Other providers sharing the same authorized official: SELLE, JUSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
21 |
$344.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
13 |
$344.24 |