NPI: 1952878704 · EAST PRAIRIE, MO 63845 · Clinical Psychologist · NPI assigned 10/30/2018
Authorized official DAVISON, JUSTIN controls 19+ related entities in our dataset. Read more
| Authorized Official | DAVISON, JUSTIN (CFO) |
| NPI Enumeration Date | 10/30/2018 |
Other providers sharing the same authorized official: DAVISON, JUSTIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $56.42M |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $7.48M |
| SAINT FRANCIS MEDICAL CENTER | SIKESTON | MO | $4.71M |
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $2.14M |
| SAINT FRANCIS MEDICAL CENTER | PIEDMONT | MO | $2.10M |
| SAINT FRANCIS MEDICAL CENTER | DEXTER | MO | $1.08M |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $961K |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $903K |
| SAINT FRANCIS MEDICAL CENTER | SIKESTON | MO | $530K |
| SAINT FRANCIS MEDICAL CENTER | CHARLESTON | MO | $484K |
| SAINT FRANCIS MEDICAL CENTER | JACKSON | MO | $311K |
| SAINT FRANCIS MEDICAL CENTER | SCOTT CITY | MO | $288K |
| SAINT FRANCIS MEDICAL CENTER | JACKSON | MO | $177K |
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $106K |
| SAINT FRANCIS MEDICAL CENTER | DEXTER | MO | $56K |
| SAINT FRANCIS MEDICAL CENTER | JACKSON | MO | $37K |
| SAINT FRANCIS MEDICAL CENTER | CHARLESTON | MO | $17K |
| SAINT FRANCIS MEDICAL CENTER | EAST PRAIRIE | MO | $14K |
| SAINT FRANCIS MEDICAL CENTER | SCOTT CITY | MO | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,595 | $74K |
| 2019 | 4,936 | $304K |
| 2020 | 3,321 | $200K |
| 2021 | 2,035 | $117K |
| 2022 | 2,051 | $129K |
| 2023 | 1,775 | $125K |
| 2024 | 1,550 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 11,727 | 9,988 | $816K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,467 | 2,259 | $106K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,478 | 1,432 | $104K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 870 | 793 | $35K |
| 99307 | 486 | 473 | $13K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 63 | 54 | $831.79 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 29 | 27 | $644.80 |
| 80053 | Comprehensive metabolic panel | 47 | 44 | $381.88 |
| 71046 | Radiologic examination, chest; 2 views | 14 | 12 | $182.92 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 15 | 13 | $86.70 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 67 | 64 | $0.00 |