SAINT THOMAS RIVER PARK HOSPITAL, LLC
NPI: 1992397152
· MCMINNVILLE, TN 37110
· Rural Health Clinic/Center
· NPI assigned 02/09/2021
$56.41
Total Medicaid Paid
Provider Details
| Authorized Official | GARRETT, CANDACE (MANAGER OF BUSINESS OPERATIONS) |
| Parent Organization | SAINT THOMAS RIVER PARK HOSPITAL, LLC |
| NPI Enumeration Date | 02/09/2021 |
Related Entities
Other providers sharing the same authorized official: GARRETT, CANDACE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
406 |
$56.41 |
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 |
18 |
14 |
$56.41 |
| 1160F |
|
103 |
88 |
$0.00 |
| 1159F |
|
103 |
88 |
$0.00 |
| 3078F |
|
28 |
24 |
$0.00 |
| 1036F |
|
28 |
25 |
$0.00 |
| 3008F |
|
96 |
82 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$0.00 |
| 1125F |
|
14 |
12 |
$0.00 |