HANNIBAL CLINIC OPERATIONS, L.L.C.
NPI: 1962481663
· PALMYRA, MO 63461
· Family Medicine Physician
· NPI assigned 01/11/2006
$218K
Total Medicaid Paid
Provider Details
| Authorized Official | BUKSTEIN, MICHAEL (PHYSICIAN EXEC DIRECTOR) |
| NPI Enumeration Date | 01/11/2006 |
Related Entities
Other providers sharing the same authorized official: BUKSTEIN, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,248 |
$85K |
| 2019 |
1,183 |
$80K |
| 2020 |
610 |
$40K |
| 2021 |
199 |
$6K |
| 2022 |
197 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,420 |
2,207 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,017 |
948 |
$42K |