PAGE HOSPITAL
NPI: 1902317829
· PAGE, AZ 86040
· Rural Health Clinic/Center
· NPI assigned 10/18/2017
$666K
Total Medicaid Paid
Provider Details
| Authorized Official | PARKER, RALPH (CEO) |
| Parent Organization | BANNER HEALTH |
| NPI Enumeration Date | 10/18/2017 |
Related Entities
Other providers sharing the same authorized official: PARKER, RALPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
273 |
$27K |
| 2020 |
113 |
$12K |
| 2021 |
333 |
$87K |
| 2022 |
645 |
$128K |
| 2023 |
554 |
$197K |
| 2024 |
504 |
$216K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,083 |
1,724 |
$665K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
223 |
$833.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
13 |
$214.35 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
32 |
$211.47 |
| 1160F |
|
13 |
12 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |