SPECTRA HEALTH
NPI: 1255317905
· LARIMORE, ND 58251
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/15/2005
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | SHANNON, BEN (OPERATIONS MANAGER) |
| NPI Enumeration Date | 12/15/2005 |
Related Entities
Other providers sharing the same authorized official: SHANNON, BEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
143 |
$16K |
| 2020 |
320 |
$32K |
| 2021 |
747 |
$51K |
| 2022 |
302 |
$46K |
| 2023 |
304 |
$56K |
| 2024 |
264 |
$58K |
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 |
928 |
727 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
583 |
448 |
$100K |
| 80305 |
|
297 |
209 |
$4K |
| 0012A |
|
51 |
39 |
$2K |
| 0011A |
|
64 |
51 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
22 |
12 |
$282.10 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
13 |
$266.64 |
| 91301 |
|
121 |
92 |
$0.00 |