NORTHEASTERN RURAL HEALTH CLINICS
NPI: 1336150051
· WESTWOOD, CA 96137
· Family Medicine Physician
· NPI assigned 08/10/2006
$282K
Total Medicaid Paid
Provider Details
| Authorized Official | LIVELY, LACEY (CEO) |
| Parent Organization | NORTHEASTERN RURAL HEALTH CLINICS |
| NPI Enumeration Date | 08/10/2006 |
Related Entities
Other providers sharing the same authorized official: LIVELY, LACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,024 |
$204K |
| 2019 |
995 |
$73K |
| 2020 |
40 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,864 |
1,736 |
$191K |
| 00003 |
Internal/system code - not a standard HCPCS code |
756 |
624 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,375 |
1,284 |
$4K |
| 90686 |
|
20 |
20 |
$271.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$54.83 |
| 92551 |
|
32 |
32 |
$37.03 |