BEN ARCHER HEALTH CENTER
NPI: 1598790222
· COLUMBUS, NM 88029
· Clinic/Center
· NPI assigned 07/11/2006
$165K
Total Medicaid Paid
Provider Details
| Authorized Official | GARAY, MARY ALICE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/11/2006 |
Related Entities
Other providers sharing the same authorized official: GARAY, MARY ALICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
561 |
$70K |
| 2019 |
554 |
$79K |
| 2020 |
118 |
$9K |
| 2021 |
35 |
$994.32 |
| 2022 |
31 |
$1K |
| 2024 |
19 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
767 |
640 |
$150K |
| 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 |
473 |
383 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
26 |
$653.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
40 |
$123.44 |