BROAD TOP AREA MEDICAL CENTER, INC
NPI: 1174039408
· MOUNT UNION, PA 17066
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/22/2017
$912K
Total Medicaid Paid
Provider Details
| Authorized Official | ROTH, JOHN (CEO) |
| Parent Organization | BROAD TOP AREA MEDICAL CENTER, INC |
| NPI Enumeration Date | 12/22/2017 |
Related Entities
Other providers sharing the same authorized official: ROTH, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
187 |
$17K |
| 2019 |
2,320 |
$116K |
| 2020 |
1,438 |
$107K |
| 2021 |
860 |
$123K |
| 2022 |
1,425 |
$149K |
| 2023 |
2,895 |
$288K |
| 2024 |
1,536 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,129 |
4,618 |
$904K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,806 |
1,636 |
$2K |
| 3078F |
|
484 |
455 |
$1K |
| 3074F |
|
658 |
620 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
799 |
$909.93 |
| 0012A |
|
16 |
16 |
$640.00 |
| 0011A |
|
16 |
16 |
$600.00 |
| 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 |
595 |
546 |
$543.91 |
| 3079F |
|
13 |
12 |
$30.00 |
| 3008F |
|
651 |
591 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$0.00 |
| 3075F |
|
22 |
22 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
349 |
333 |
$0.00 |
| 3077F |
|
22 |
21 |
$0.00 |