LIVINGSTON COMMUNITY HEALTH
NPI: 1295184117
· PATTERSON, CA 95363
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/10/2016
$710K
Total Medicaid Paid
Provider Details
| Authorized Official | MCGOWAN, LESLIE (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | LIVINGSTON COMMUNITY HEALTH |
| NPI Enumeration Date | 06/10/2016 |
Related Entities
Other providers sharing the same authorized official: MCGOWAN, LESLIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,238 |
$321K |
| 2019 |
2,694 |
$292K |
| 2020 |
1,265 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,804 |
4,018 |
$710K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
159 |
$0.00 |
| 92551 |
|
70 |
70 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
566 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
150 |
$0.00 |
| 85018 |
|
96 |
96 |
$0.00 |
| 90686 |
|
100 |
100 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
59 |
$0.00 |
| 99173 |
|
84 |
84 |
$0.00 |
| 87400 |
|
15 |
14 |
$0.00 |