Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC

NPI: 1164631552 · WHITEFIELD, NH 03598 · Federally Qualified Health Center (FQHC) · NPI assigned 05/22/2007

$230K
Total Medicaid Paid
2,077
Total Claims
1,690
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHANSHALA II, EDWARD (DIRECTOR)
Parent OrganizationAMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
NPI Enumeration Date05/22/2007

Related Entities

Other providers sharing the same authorized official: SHANSHALA II, EDWARD

ProviderCityStateTotal Paid
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. LITTLETON NH $4.31M
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC FRANCONIA NH $341K
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC WARREN NH $275K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $32K
2019 563 $53K
2020 423 $50K
2021 278 $39K
2022 219 $22K
2023 192 $21K
2024 61 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,494 1,263 $227K
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 232 138 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 124 106 $383.93
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 26 15 $276.15
36415 Collection of venous blood by venipuncture 15 15 $3.09
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 161 140 $0.00
90832 Psychotherapy, 30 minutes with patient 25 13 $0.00