AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
NPI: 1275742660
· FRANCONIA, NH 03580
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/22/2007
$341K
Total Medicaid Paid
Provider Details
| Authorized Official | SHANSHALA II, EDWARD (DIRECTOR) |
| Parent Organization | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC |
| NPI Enumeration Date | 05/22/2007 |
Related Entities
Other providers sharing the same authorized official: SHANSHALA II, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
198 |
$30K |
| 2019 |
421 |
$40K |
| 2020 |
319 |
$41K |
| 2021 |
288 |
$42K |
| 2022 |
550 |
$73K |
| 2023 |
364 |
$67K |
| 2024 |
170 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,948 |
1,698 |
$341K |
| 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 |
26 |
16 |
$208.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
46 |
$128.20 |
| 90686 |
|
26 |
13 |
$112.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
192 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
24 |
$0.00 |