CHARLES EVANS CENTER, INC.
NPI: 1598299356
· HAUPPAUGE, NY 11788
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/18/2017
$197K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
952 |
$39K |
| 2020 |
646 |
$35K |
| 2021 |
485 |
$35K |
| 2022 |
535 |
$26K |
| 2023 |
754 |
$36K |
| 2024 |
563 |
$27K |
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 |
2,175 |
915 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
287 |
$57K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
342 |
171 |
$24K |
| D0274 |
Bitewings - four radiographic images |
458 |
92 |
$22K |
| D1110 |
Prophylaxis - adult |
409 |
92 |
$22K |
| D9997 |
|
71 |
71 |
$2K |