SURPRISE VALLEY HEALTH CARE DISTRICT
NPI: 1073693651
· CEDARVILLE, CA 96104
· Rural Health Clinic/Center
· NPI assigned 10/17/2006
$601K
Total Medicaid Paid
Provider Details
| Authorized Official | GROVE, WANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/17/2006 |
Related Entities
Other providers sharing the same authorized official: GROVE, WANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
298 |
$14K |
| 2019 |
325 |
$9K |
| 2020 |
984 |
$88K |
| 2021 |
1,233 |
$119K |
| 2022 |
1,151 |
$92K |
| 2023 |
1,749 |
$166K |
| 2024 |
1,020 |
$111K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,119 |
2,908 |
$596K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,397 |
1,317 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,735 |
1,671 |
$2K |
| 99307 |
|
260 |
239 |
$616.50 |
| 99334 |
|
175 |
110 |
$604.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
60 |
$75.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$55.00 |