Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FOUNTAIN VALLEY HEALTH CARE LLC

NPI: 1225890619 · COLORADO SPRINGS, CO 80906 · Counselor · NPI assigned 01/30/2024

$40K
Total Medicaid Paid
883
Total Claims
770
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJORDAN, JACQUITA (OWNER)
Parent OrganizationFOUNTAIN VALLEY HEALTH CARE LLC
NPI Enumeration Date01/30/2024

Related Entities

Other providers sharing the same authorized official: JORDAN, JACQUITA

ProviderCityStateTotal Paid
FOUNTAIN VALLEY HEALTH CARE LLC COLORADO SPRINGS CO $871K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 883 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 304 262 $29K
96127 270 234 $5K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 161 137 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 92 84 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 56 53 $774.28