MID-STATE HEALTH CENTER
NPI: 1285279182
· PLYMOUTH, NH 03264
· Federally Qualified Health Center (FQHC)
· NPI assigned 11/14/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: SWEENEY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
638 |
$51K |
| 2022 |
128 |
$11K |
| 2024 |
114 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
742 |
128 |
$61K |
| T1015 |
Clinic visit/encounter, all-inclusive |
53 |
47 |
$15K |
| H0038 |
Self-help/peer services, per 15 minutes |
24 |
12 |
$1K |
| 3074F |
|
20 |
17 |
$30.00 |
| 3078F |
|
25 |
22 |
$30.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$0.00 |