SUN LIFE FAMILY HEALTH CENTER, INC
NPI: 1417286568
· CASA GRANDE, AZ 85122
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/21/2009
$278K
Total Medicaid Paid
Provider Details
| Authorized Official | ROBINETTE, TRAVIS (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 12/21/2009 |
Related Entities
Other providers sharing the same authorized official: ROBINETTE, TRAVIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
403 |
$52K |
| 2019 |
531 |
$73K |
| 2020 |
1,677 |
$112K |
| 2021 |
459 |
$41K |
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,589 |
1,324 |
$278K |
| 92552 |
|
51 |
50 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
389 |
366 |
$0.00 |
| 83655 |
|
49 |
42 |
$0.00 |
| 90461 |
|
43 |
42 |
$0.00 |
| 99173 |
|
46 |
45 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 3008F |
|
213 |
180 |
$0.00 |
| 85018 |
|
99 |
88 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
239 |
$0.00 |
| 90686 |
|
45 |
45 |
$0.00 |
| 36416 |
|
206 |
187 |
$0.00 |
| 90698 |
|
29 |
29 |
$0.00 |