THE LIFE CENTER COMPLEX, INC
NPI: 1346728672
· NEW CASTLE, DE 19720
· Student Health Clinic/Center
· NPI assigned 07/30/2018
$290K
Total Medicaid Paid
Provider Details
| Authorized Official | WATSON, FORREST (CEO) |
| Parent Organization | THE LIFE CENTER COMPLEX, INC. |
| NPI Enumeration Date | 07/30/2018 |
Related Entities
Other providers sharing the same authorized official: WATSON, FORREST
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
839 |
$459.36 |
| 2019 |
3,491 |
$52K |
| 2020 |
3,264 |
$177K |
| 2021 |
1,153 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,052 |
1,054 |
$290K |
| 90791 |
|
113 |
108 |
$141.95 |
| Q3014 |
Telehealth originating site facility fee |
853 |
350 |
$0.00 |
| 90832 |
|
1,328 |
575 |
$0.00 |
| 90853 |
|
2,364 |
718 |
$0.00 |
| 99212 |
|
37 |
13 |
$0.00 |