HACKLEY COMMUNITY CARE CENTER INC
NPI: 1386298552
· FRUITPORT, MI 49415
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/26/2019
$241K
Total Medicaid Paid
Provider Details
| Authorized Official | KOESTNER, DANIELLE (CMO) |
| NPI Enumeration Date | 07/26/2019 |
Related Entities
Other providers sharing the same authorized official: KOESTNER, DANIELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
170 |
$8K |
| 2020 |
193 |
$8K |
| 2021 |
1,464 |
$65K |
| 2022 |
1,212 |
$57K |
| 2023 |
1,360 |
$63K |
| 2024 |
735 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
2,707 |
1,216 |
$235K |
| 90832 |
|
2,427 |
1,147 |
$6K |