PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
NPI: 1952074791
· WHITE LAKE, SD 57383
· Family Medicine Physician
· NPI assigned 07/28/2021
$402.24
Total Medicaid Paid
Provider Details
| Authorized Official | BURKET, MARK (CEO) |
| NPI Enumeration Date | 07/28/2021 |
Related Entities
Other providers sharing the same authorized official: BURKET, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
39 |
$199.36 |
| 2024 |
31 |
$202.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
35 |
$322.55 |
| 90656 |
|
15 |
14 |
$60.33 |
| 90686 |
|
19 |
19 |
$19.36 |