HIDALGO MEDICAL SERVICES
NPI: 1427041490
· GILA, NM 88038
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/25/2005
$361.80
Total Medicaid Paid
Provider Details
| Authorized Official | OTERO, DANIEL (CEO) |
| Parent Organization | HIDALGO MEDICAL SERVICES |
| NPI Enumeration Date | 08/25/2005 |
Related Entities
Other providers sharing the same authorized official: OTERO, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
13 |
$361.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
13 |
12 |
$361.80 |