URBAN HEALTH PLAN, INC.
NPI: 1043514615
· BRONX, NY 10474
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/22/2010
$863.27
Total Medicaid Paid
Provider Details
| Authorized Official | DELEON, SAMUEL (VP MEDICAL AFFAIRS/CMO) |
| Parent Organization | BELLA VISTA COMMUNITY HEALTH CENTER |
| NPI Enumeration Date | 12/22/2010 |
Related Entities
Other providers sharing the same authorized official: DELEON, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
15 |
$280.28 |
| 2021 |
23 |
$582.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
23 |
23 |
$582.99 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
14 |
$280.28 |