NPI: 1346684826 · EDWARDS, MS 39066 · Federally Qualified Health Center (FQHC) · NPI assigned 04/26/2013
Authorized official CHAPMAN, JASMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | CHAPMAN, JASMIN (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC |
| NPI Enumeration Date | 04/26/2013 |
Other providers sharing the same authorized official: CHAPMAN, JASMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 604 | $34K |
| 2019 | 601 | $43K |
| 2020 | 95 | $6K |
| 2021 | 188 | $11K |
| 2022 | 552 | $18K |
| 2023 | 332 | $22K |
| 2024 | 93 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 942 | 770 | $68K |
| D1120 | Prophylaxis - child | 278 | 271 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 257 | 254 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 80 | 72 | $11K |
| 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 | 604 | 467 | $4K |
| D1206 | Topical application of fluoride varnish | 231 | 225 | $2K |
| D1351 | Sealant - per tooth | 16 | 12 | $1K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 57 | 57 | $707.34 |