BROAD TOP AREA MEDICAL CENTER, INC
NPI: 1568035590
· ORBISONIA, PA 17243
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/19/2021
$265K
Total Medicaid Paid
Provider Details
| Authorized Official | REED, SHANI (DIRECTOR, PROVIDER ENROLLMENT) |
| Parent Organization | BROAD TOP AREA MEDICAL CENTER, INC |
| NPI Enumeration Date | 07/19/2021 |
Related Entities
Other providers sharing the same authorized official: REED, SHANI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$8K |
| 2022 |
549 |
$80K |
| 2023 |
1,214 |
$115K |
| 2024 |
521 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,446 |
1,285 |
$264K |
| 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 |
295 |
256 |
$693.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
142 |
$484.33 |
| 3078F |
|
102 |
96 |
$190.00 |
| 3074F |
|
98 |
91 |
$150.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
148 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
75 |
68 |
$0.00 |