FORT MOJAVE INDIAN TRIBE
NPI: 1306897962
· MOHAVE VALLEY, AZ 86440
· Rural Health Clinic/Center
· NPI assigned 05/16/2006
$835K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, TIM (TRIBAL CHAIRPERSON) |
| NPI Enumeration Date | 05/16/2006 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, TIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
164 |
$70K |
| 2019 |
128 |
$58K |
| 2020 |
448 |
$83K |
| 2021 |
1,596 |
$454K |
| 2022 |
244 |
$100K |
| 2023 |
82 |
$51K |
| 2024 |
25 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,746 |
1,179 |
$833K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
689 |
520 |
$638.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
76 |
$398.34 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
16 |
12 |
$198.08 |
| 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 |
19 |
14 |
$132.00 |
| 91301 |
|
38 |
37 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 0012A |
|
16 |
16 |
$0.00 |