NPI: 1003869363 · NATIONAL CITY, CA 91950 · Federally Qualified Health Center (FQHC) · NPI assigned 05/18/2006
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT/CEO) |
| NPI Enumeration Date | 05/18/2006 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,625 | $2.08M |
| 2019 | 14,043 | $1.89M |
| 2020 | 20,292 | $1.79M |
| 2021 | 34,148 | $1.97M |
| 2022 | 14,641 | $694K |
| 2023 | 54 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 48,961 | 43,744 | $8.38M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10,562 | 9,941 | $12K |
| 0004A | 197 | 103 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6,990 | 6,205 | $6K |
| 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 | 251 | 226 | $6K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,267 | 5,011 | $5K |
| 0064A | 94 | 51 | $5K | |
| 0011A | 31 | 17 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 31 | 30 | $408.45 |
| 90686 | 628 | 615 | $336.42 | |
| 99000 | 1,357 | 1,299 | $256.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,293 | 1,277 | $182.33 |
| 92551 | 662 | 646 | $178.08 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 106 | 102 | $175.40 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 127 | 124 | $164.49 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 49 | 47 | $129.90 |
| 96156 | 52 | 51 | $84.30 | |
| 99173 | 727 | 709 | $71.95 | |
| 90688 | 239 | 237 | $67.30 | |
| 90715 | 16 | 15 | $40.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 65 | 62 | $12.00 |
| 81025 | 26 | 24 | $11.60 | |
| 36415 | Collection of venous blood by venipuncture | 2,467 | 2,433 | $8.10 |
| 85018 | 80 | 78 | $3.78 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2,077 | 1,964 | $0.53 |
| 96127 | 14 | 12 | $0.02 | |
| S9452 | Nutrition classes, non-physician provider, per session | 1,880 | 1,852 | $0.00 |
| 3008F | 1,919 | 1,883 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 1,587 | 1,567 | $0.00 |
| 1000F | 56 | 50 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 263 | 263 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 71 | 71 | $0.00 |
| 3074F | 43 | 41 | $0.00 | |
| 86580 | 18 | 18 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 12 | 12 | $0.00 |
| 1159F | 8,157 | 7,536 | $0.00 | |
| 96160 | 184 | 184 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 38 | 38 | $0.00 |
| 3078F | 44 | 42 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 89 | 89 | $0.00 |
| 90662 | 15 | 15 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 34 | 34 | $0.00 |