ODA PRIMARY HEALTH CARE NETWORK, INC.
NPI: 1396293379
· BROOKLYN, NY 11205
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/19/2016
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSENFELD, ROSE (CFO) |
| Parent Organization | ODA PRIMARY HEALTH CARE NETWORK, INC. |
| NPI Enumeration Date | 09/19/2016 |
Related Entities
Other providers sharing the same authorized official: ROSENFELD, ROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,951 |
$121K |
| 2023 |
22 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,238 |
619 |
$103K |
| 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 |
254 |
96 |
$9K |
| 94760 |
|
353 |
105 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
58 |
14 |
$977.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
69 |
$0.00 |