AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
NPI: 1619196409
· LITTLETON, NH 03561
· 261QF0400X
$4.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,235 |
$411K |
| 2019 |
11,286 |
$709K |
| 2020 |
10,380 |
$717K |
| 2021 |
10,951 |
$776K |
| 2022 |
7,171 |
$596K |
| 2023 |
5,059 |
$588K |
| 2024 |
3,387 |
$513K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
25,866 |
18,708 |
$4.21M |
| G0467 |
Fqhc visit, estab pt |
5,717 |
3,407 |
$75K |
| G2025 |
Dis site tele svcs rhc/fqhc |
538 |
287 |
$6K |
| 99214 |
|
4,677 |
3,508 |
$6K |
| 90832 |
|
3,889 |
1,383 |
$5K |
| G0470 |
Fqhc visit, mh estab pt |
499 |
240 |
$4K |
| 90686 |
|
298 |
253 |
$2K |
| 99213 |
|
10,794 |
8,704 |
$1K |
| 87426 |
|
26 |
26 |
$735.00 |
| 90471 |
|
550 |
488 |
$680.20 |
| 90837 |
|
540 |
344 |
$465.00 |
| 90834 |
|
997 |
647 |
$209.34 |
| 36416 |
|
139 |
93 |
$158.61 |
| 83036 |
|
42 |
28 |
$45.02 |
| 36415 |
|
563 |
483 |
$31.74 |
| 90792 |
|
13 |
13 |
$27.60 |
| G0008 |
Admin influenza virus vac |
90 |
63 |
$0.00 |
| 90863 |
|
86 |
45 |
$0.00 |
| 90836 |
|
98 |
70 |
$0.00 |
| 99212 |
|
13 |
12 |
$0.00 |
| 87811 |
|
12 |
12 |
$0.00 |
| 90756 |
|
22 |
16 |
$0.00 |