GREENVILLE RANCHERIA
NPI: 1326031881
· GREENVILLE, CA 95947
· Community Health Clinic/Center
· NPI assigned 08/30/2005
Deactivated NPI
· This NPI was deactivated on 07/17/2007. Reactivated 08/21/2007.
$4.12M
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, PATTY (FISCAL OFFICER) |
| NPI Enumeration Date | 08/30/2005 |
Related Entities
Other providers sharing the same authorized official: ALLEN, PATTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,414 |
$1.36M |
| 2019 |
3,153 |
$1.25M |
| 2020 |
2,239 |
$924K |
| 2021 |
1,302 |
$583K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
7,426 |
4,620 |
$3.35M |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,110 |
885 |
$513K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,034 |
880 |
$172K |
| 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 |
348 |
214 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
159 |
$6K |
| 0012A |
|
12 |
12 |
$480.00 |