CATHOLIC HEALTHCARE TRUST
NPI: 1154984714
· MANCHESTER, NH 03103
· 261QF0400X
$991K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
122 |
$4K |
| 2020 |
1,836 |
$124K |
| 2021 |
3,458 |
$254K |
| 2022 |
3,042 |
$228K |
| 2023 |
919 |
$123K |
| 2024 |
1,261 |
$257K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
4,636 |
3,966 |
$940K |
| 99214 |
|
783 |
546 |
$17K |
| 99213 |
|
2,500 |
2,072 |
$15K |
| H0038 |
Self-help/peer svc per 15min |
616 |
287 |
$10K |
| 90686 |
|
291 |
264 |
$3K |
| G0467 |
Fqhc visit, estab pt |
112 |
65 |
$1K |
| 82947 |
|
297 |
244 |
$932.30 |
| 90471 |
|
347 |
270 |
$492.95 |
| 90460 |
|
128 |
106 |
$452.33 |
| 80305 |
|
72 |
39 |
$445.15 |
| 90461 |
|
63 |
43 |
$242.94 |
| 99212 |
|
29 |
24 |
$240.43 |
| 36415 |
|
430 |
367 |
$224.37 |
| 81003 |
|
104 |
89 |
$149.06 |
| 99203 |
|
53 |
41 |
$136.79 |
| 81002 |
|
165 |
142 |
$119.04 |
| 83036 |
|
12 |
12 |
$107.76 |