Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.

NPI: 1437376209 · WOODSVILLE, NH 03785 · Federally Qualified Health Center (FQHC) · NPI assigned 04/20/2007

$2.28M
Total Medicaid Paid
40,144
Total Claims
26,339
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, NORRINE (DIRECTOR)
Parent OrganizationAMMONOOSUC COMMUNITY HEALTH SERVICES, INC
NPI Enumeration Date04/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,605 $194K
2019 6,263 $259K
2020 6,716 $307K
2021 6,985 $346K
2022 6,336 $346K
2023 4,734 $374K
2024 3,505 $458K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,725 9,424 $2.09M
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 11,833 5,779 $182K
T1030 Nursing care, in the home, by registered nurse, per diem 234 197 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 972 727 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,320 4,479 $2K
87428 28 25 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 131 59 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 470 416 $629.72
90686 200 167 $556.68
99310 Prolong nursin fac eval 15m 1,025 521 $531.02
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 28 $492.53
99308 Subsequent nursing facility care, per day, straightforward 3,371 1,710 $254.96
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,369 2,471 $118.07
36415 Collection of venous blood by venipuncture 13 12 $0.00
90834 Psychotherapy, 45 minutes with patient 19 13 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 34 33 $0.00
90832 Psychotherapy, 30 minutes with patient 336 242 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $0.00