NPI: 1093992844 · SAN JOSE, CA 95131 · Federally Qualified Health Center (FQHC) · NPI assigned 01/23/2008
Authorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more
| Authorized Official | CHAN, EDDIE (PRESIDENT & CEO) |
| Parent Organization | NORTH EAST MEDICAL SERVICES |
| NPI Enumeration Date | 01/23/2008 |
Other providers sharing the same authorized official: CHAN, EDDIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,709 | $1.70M |
| 2019 | 2,695 | $687K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 5,935 | 4,892 | $1.51M |
| T1015 | Clinic visit/encounter, all-inclusive | 4,600 | 4,186 | $849K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 227 | 215 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 296 | 259 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 274 | 266 | $8K |
| 92551 | 760 | 730 | $5K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,433 | 1,161 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 566 | 510 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 324 | 320 | $749.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 76 | 75 | $209.64 |
| 99173 | 352 | 347 | $173.62 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26 | 26 | $67.34 |
| 90633 | 30 | 27 | $38.23 | |
| 90686 | 397 | 370 | $9.92 | |
| 90651 | 96 | 94 | $0.00 | |
| 90734 | 12 | 12 | $0.00 |