Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAIRFIELD COMMUNITY HEALTH CENTER

NPI: 1396024212 · BALTIMORE, OH 43105 · Federally Qualified Health Center (FQHC) · NPI assigned 08/09/2011

$458K
Total Medicaid Paid
43,337
Total Claims
25,535
Beneficiary Records
28
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialEVANGELISTA, LISA (CEO)
NPI Enumeration Date08/09/2011

Related Entities

Other providers sharing the same authorized official: EVANGELISTA, LISA

ProviderCityStateTotal Paid
FAIRFIELD COMMUNITY HEALTH CENTER LANCASTER OH $7.10M
FAIRFIELD COMMUNITY HEALTH CENTER LANCASTER OH $1.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,980 $132K
2019 10,450 $112K
2020 5,538 $49K
2021 8,648 $65K
2022 9,450 $74K
2023 3,271 $25K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,950 3,519 $301K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,133 2,997 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,569 1,050 $44K
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 278 253 $8K
90837 Psychotherapy, 53 minutes with patient 31 28 $2K
96127 1,726 993 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 82 51 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 121 75 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 17 $718.34
90756 98 58 $686.48
90686 96 57 $573.76
3078F 3,275 1,783 $0.00
4004F 199 148 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,476 1,850 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 186 107 $0.00
3077F 236 136 $0.00
3008F 4,203 2,276 $0.00
2001F 4,205 2,276 $0.00
3074F 4,343 2,359 $0.00
1036F 3,040 1,639 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,679 1,956 $0.00
3079F 2,127 1,197 $0.00
3075F 378 212 $0.00
1111F 509 297 $0.00
3048F 240 128 $0.00
3049F 61 36 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 47 25 $0.00
3080F 20 12 $0.00