Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.

NPI: 1619196409 · LITTLETON, NH 03561 · Federally Qualified Health Center (FQHC) · NPI assigned 04/24/2007

$4.31M
Total Medicaid Paid
55,469
Total Claims
38,830
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHANSHALA II, EDWARD (DIRECTOR)
Parent OrganizationAMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
NPI Enumeration Date04/24/2007

Related Entities

Other providers sharing the same authorized official: SHANSHALA II, EDWARD

ProviderCityStateTotal Paid
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC FRANCONIA NH $341K
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC WARREN NH $275K
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC WHITEFIELD NH $230K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,866 18,708 $4.21M
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 5,717 3,407 $75K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 538 287 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,677 3,508 $6K
90832 Psychotherapy, 30 minutes with patient 3,889 1,383 $5K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 499 240 $4K
90686 298 253 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,794 8,704 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 26 $735.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 550 488 $680.20
90837 Psychotherapy, 53 minutes with patient 540 344 $465.00
90834 Psychotherapy, 45 minutes with patient 997 647 $209.34
36416 139 93 $158.61
83036 Hemoglobin; glycosylated (A1C) 42 28 $45.02
36415 Collection of venous blood by venipuncture 563 483 $31.74
90792 Psychiatric diagnostic evaluation with medical services 13 13 $27.60
G0008 Administration of influenza virus vaccine 90 63 $0.00
90863 86 45 $0.00
90836 98 70 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 12 12 $0.00
90756 22 16 $0.00