HIGH COUNTRY COMMUNITY HEALTH
NPI: 1518502103
· CONNELLY SPRINGS, NC 28612
· Federally Qualified Health Center (FQHC)
· NPI assigned 11/07/2019
$1.42M
Total Medicaid Paid
Provider Details
| Authorized Official | SALTHOUSE, ALICE (CEO) |
| Parent Organization | HIGH COUNTRY COMMUNITY HEALTH |
| NPI Enumeration Date | 11/07/2019 |
Related Entities
Other providers sharing the same authorized official: SALTHOUSE, ALICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
480 |
$78K |
| 2021 |
1,611 |
$170K |
| 2022 |
4,974 |
$272K |
| 2023 |
10,332 |
$363K |
| 2024 |
25,270 |
$539K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,700 |
5,563 |
$1.23M |
| 99199 |
Unlisted special service, procedure or report |
30,324 |
13,308 |
$171K |
| 80305 |
|
1,221 |
853 |
$13K |
| 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 |
218 |
179 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
78 |
76 |
$827.41 |
| 0012A |
|
12 |
12 |
$715.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
425 |
$518.34 |
| 96127 |
|
303 |
270 |
$426.28 |
| 0011A |
|
12 |
12 |
$360.00 |
| 3079F |
|
571 |
501 |
$0.85 |
| 3074F |
|
793 |
690 |
$0.85 |
| 3078F |
|
516 |
469 |
$0.58 |
| 3075F |
|
198 |
183 |
$0.30 |
| 3077F |
|
61 |
54 |
$0.09 |
| 3080F |
|
62 |
46 |
$0.05 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
24 |
$0.00 |
| 91301 |
|
30 |
26 |
$0.00 |