MIDTOWN COMMUNITY HEALTH CENTER INC
NPI: 1013186717
· WASHINGTON TERRACE, UT 84405
· Federally Qualified Health Center (FQHC)
· NPI assigned 02/27/2008
Provider Details
| Authorized Official | MARTINEZ, ALICIA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 02/27/2008 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, ALICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
149 |
$12K |
| 2019 |
138 |
$11K |
| 2020 |
128 |
$4K |
| 2021 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
114 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
88 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
111 |
$73.03 |
| 85018 |
|
16 |
15 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |