MOUNTAIN PARK HEALTH CENTER
NPI: 1316637481
· GLENDALE, AZ 85303
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/11/2023
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | SWAGERT, JOHN (CEO) |
| Parent Organization | MOUNTAIN PARK HEALTH CENTER |
| NPI Enumeration Date | 05/11/2023 |
Related Entities
Other providers sharing the same authorized official: SWAGERT, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
627 |
$79K |
| 2024 |
579 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
909 |
880 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
114 |
$278.86 |
| 90686 |
|
35 |
35 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 92558 |
|
12 |
12 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
32 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
58 |
$0.00 |