BANDON COMMUNITY HEALTH CTR
NPI: 1013587484
· PORT ORFORD, OR 97465
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/29/2021
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | MAXON, LINDA (CEO) |
| Parent Organization | BANDON COMMUNITY HEALTH CTR |
| NPI Enumeration Date | 06/29/2021 |
Related Entities
Other providers sharing the same authorized official: MAXON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
490 |
$35K |
| 2023 |
886 |
$65K |
| 2024 |
12 |
$40.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
475 |
281 |
$74K |
| 90834 |
Psychotherapy, 45 minutes with patient |
102 |
81 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
700 |
602 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
81 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| 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 |
12 |
12 |
$40.31 |