NORTHEAST COMMUNITY CLINIC
NPI: 1336790914
· HAWTHORNE, CA 90250
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/24/2019
$34.55
Total Medicaid Paid
Provider Details
| Authorized Official | LAU, CHRISTOPHER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/24/2019 |
Related Entities
Other providers sharing the same authorized official: LAU, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
46 |
$34.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$34.55 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$0.00 |