ATASCOSA HEALTH CENTER, INC.
NPI: 1336491083
· THREE RIVERS, TX 78071
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/04/2012
$426.75
Total Medicaid Paid
Provider Details
| Authorized Official | SMALL, MONTY (CEO) |
| Parent Organization | ATASCOSA HEALTH CENTER, INC. |
| NPI Enumeration Date | 10/04/2012 |
Related Entities
Other providers sharing the same authorized official: SMALL, MONTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$426.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
14 |
12 |
$426.75 |