JERICHO ROAD MINISTRIES, INC.
NPI: 1205474681
· BUFFALO, NY 14203
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/16/2019
$199K
Total Medicaid Paid
Provider Details
| Authorized Official | ENDRESS, JACKIE (CREDENTIALING SPECIALIST) |
| Parent Organization | JERICHO ROAD MINISTRIES, INC. |
| NPI Enumeration Date | 12/16/2019 |
Related Entities
Other providers sharing the same authorized official: ENDRESS, JACKIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
689 |
$28K |
| 2021 |
1,646 |
$65K |
| 2022 |
968 |
$29K |
| 2023 |
897 |
$35K |
| 2024 |
666 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,654 |
1,213 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,039 |
$97K |
| 96127 |
|
726 |
668 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99441 |
|
24 |
24 |
$539.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$391.77 |
| 0012A |
|
16 |
16 |
$316.68 |
| 0011A |
|
16 |
16 |
$205.68 |
| 99406 |
|
16 |
16 |
$87.49 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
747 |
626 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
369 |
320 |
$0.00 |