NPI: 1174164719 · CAMPO, CA 91906 · Federally Qualified Health Center (FQHC) · NPI assigned 10/04/2019
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT/CEO) |
| NPI Enumeration Date | 10/04/2019 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 20,466 | $990K |
| 2024 | 15,779 | $2.45M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 11,255 | 9,059 | $2.43M |
| 00003 | Internal/system code - not a standard HCPCS code | 3,479 | 2,219 | $988K |
| 90791 | Psychiatric diagnostic evaluation | 470 | 369 | $7K |
| 90834 | Psychotherapy, 45 minutes with patient | 428 | 297 | $4K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,357 | 2,797 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,210 | 3,669 | $2K |
| 90832 | Psychotherapy, 30 minutes with patient | 762 | 523 | $2K |
| 90739 | 57 | 51 | $484.26 | |
| 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 | 12 | 12 | $316.51 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 118 | 114 | $176.73 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 339 | 323 | $116.55 |
| 96156 | 276 | 248 | $83.46 | |
| 90656 | 27 | 26 | $77.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 216 | 206 | $68.42 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 60 | 49 | $64.87 |
| 99000 | 119 | 105 | $24.93 | |
| 99173 | 45 | 43 | $7.26 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 5,085 | 4,258 | $0.23 |
| 1159F | 2,644 | 2,157 | $0.00 | |
| 98942 | 22 | 17 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 15 | 13 | $0.00 |
| 90715 | 13 | 13 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 629 | 554 | $0.00 |
| 3008F | 815 | 718 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 205 | 200 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 763 | 672 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 725 | 637 | $0.00 |
| 36416 | 27 | 26 | $0.00 | |
| 85018 | 26 | 26 | $0.00 | |
| 92551 | 46 | 45 | $0.00 |