COMMUNITY HOSPITAL ASSOCIATION
NPI: 1972507523
· TARKIO, MO 64491
· Family Medicine Physician
· NPI assigned 06/10/2005
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JON (CFO) |
| NPI Enumeration Date | 06/10/2005 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$744.78 |
| 2019 |
62 |
$1K |
| 2020 |
344 |
$14K |
| 2021 |
572 |
$28K |
| 2022 |
662 |
$35K |
| 2023 |
331 |
$17K |
| 2024 |
267 |
$16K |
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 |
1,867 |
1,475 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
330 |
222 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
41 |
$2K |
| 99307 |
|
29 |
29 |
$744.78 |