CANYONLANDS COMMUNITY HEALTH CARE
NPI: 1417218876
· GLOBE, AZ 85501
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/01/2012
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | HANSEN, CHRISTOPHER (CEO) |
| Parent Organization | CANYONLANDS COMMUNITY HEALTH CARE |
| NPI Enumeration Date | 06/01/2012 |
Related Entities
Other providers sharing the same authorized official: HANSEN, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,123 |
$215K |
| 2020 |
16 |
$2K |
| 2021 |
49 |
$7K |
| 2022 |
231 |
$17K |
| 2023 |
161 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,368 |
1,161 |
$253K |
| 1111F |
|
63 |
59 |
$0.00 |
| 2001F |
|
65 |
61 |
$0.00 |
| 3008F |
|
65 |
61 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
18 |
$0.00 |