SNODGRASS MEMORIAL CLINIC, LLC
NPI: 1942930094
· DODGE CITY, KS 67801
· Family Medicine Physician
· NPI assigned 06/13/2022
$151K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SNODGRASS, MARCIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,035 |
$79K |
| 2024 |
3,782 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
1,717 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,585 |
1,808 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
317 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
103 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
14 |
$175.90 |
| 82962 |
|
69 |
57 |
$71.34 |
| 99000 |
|
278 |
233 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
652 |
438 |
$0.00 |