SUSAN B. ALLEN MEMORIAL HOSPITAL
NPI: 1922520832
· AUGUSTA, KS 67010
· Family Medicine Physician
· NPI assigned 07/12/2017
$909.98
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, MELISSA (CEO) |
| NPI Enumeration Date | 07/12/2017 |
Related Entities
Other providers sharing the same authorized official: HALL, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
165 |
$909.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
141 |
$572.79 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$337.19 |