NPI: 1003359209 · LYTLE, TX 78052 · Federally Qualified Health Center (FQHC) · NPI assigned 11/21/2016
| Authorized Official | SMALL, MONTY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | ATASCOSA HEALTH CENTER, INC. |
| NPI Enumeration Date | 11/21/2016 |
Other providers sharing the same authorized official: SMALL, MONTY
| Provider | City | State | Total Paid |
|---|---|---|---|
| ATASCOSA HEALTH CENTER, INC. | PLEASANTON | TX | $7.23M |
| ATASCOSA HEALTH CENTER, INC. | THREE RIVERS | TX | $426.75 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 483 | $27K |
| 2021 | 1,324 | $67K |
| 2022 | 969 | $52K |
| 2023 | 1,105 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 958 | 842 | $136K |
| 99213 | 627 | 568 | $46K | |
| 99214 | 525 | 437 | $20K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 16 | 13 | $470.27 |
| 81025 | 441 | 389 | $0.00 | |
| 81003 | 444 | 388 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 29 | 28 | $0.00 |
| 99000 | 679 | 587 | $0.00 | |
| 96372 | 71 | 67 | $0.00 | |
| 36415 | 91 | 78 | $0.00 |