MID-STATE HEALTH CENTER
NPI: 1194464982
· LINCOLN, NH 03251
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/01/2022
Provider Details
Related Entities
Other providers sharing the same authorized official: SWEENEY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
145 |
$12K |
| 2024 |
441 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
424 |
310 |
$75K |
| 3074F |
|
14 |
14 |
$90.00 |
| 3078F |
|
18 |
12 |
$20.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
56 |
$0.00 |
| 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 |
16 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
37 |
$0.00 |