MEMORIAL HOSPITAL ASSOCIATION
NPI: 1891972451
· NAUVOO, IL 62354
· Rural Health Clinic/Center
· NPI assigned 01/25/2008
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, TERESA (CFO) |
| Parent Organization | MEMORIAL HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 01/25/2008 |
Related Entities
Other providers sharing the same authorized official: SMITH, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
23 |
$2K |
| 2019 |
897 |
$34K |
| 2020 |
1,265 |
$71K |
| 2021 |
239 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,620 |
731 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
99 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
259 |
$0.00 |