NUESTRA CLINICA DEL VALLE INC
NPI: 1205067600
· RIO GRANDE CITY, TX 78582
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/03/2009
$258.57
Total Medicaid Paid
Provider Details
| Authorized Official | TORRES, MARIA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/03/2009 |
Related Entities
Other providers sharing the same authorized official: TORRES, MARIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
35 |
$258.57 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
13 |
$258.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$0.00 |