JEFFERSON COMPREHENSIVE CARE SYSTEM, INC

NPI: 1396941191 · RISON, AR 71665 · Federally Qualified Health Center (FQHC) · NPI assigned 06/27/2007

$177K

Total Medicaid Paid

1,213

Total Claims

1,008

Beneficiaries

Codes Billed

2018-01

First Month

2018-12

Last Month

Provider Details

Authorized Official	DAVIS, LARNELL (EXECUTIVE DIRECTOR)
Parent Organization	JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
NPI Enumeration Date	06/27/2007

Other providers sharing the same authorized official: DAVIS, LARNELL

Provider	City	State	Total Paid
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC	PINE BLUFF	AR	$4.77M
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC	COLLEGE STATION	AR	$587K
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC	REDFIELD	AR	$516K
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC	LITTLE ROCK	AR	$389K
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC	ALTHEIMER	AR	$156K
JEFFERSON COMPREHENSIVE CARE SYSTEM INC	PINE BLUFF	AR	$28K

Year	Claims	Total Paid
2018	1,213	$177K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	849	688	$172K
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	204	175	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	160	145	$0.00