Medicaid Provider Spending

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

CHARLES DREW HEALTH CENTER INC

NPI: 1629530373 · OMAHA, NE 68104 · Federally Qualified Health Center (FQHC) · NPI assigned 04/02/2019

$17K
Total Medicaid Paid
885
Total Claims
762
Beneficiaries
12
Codes Billed
2021-02
First Month
2022-01
Last Month

Provider Details

Authorized OfficialJACKSON, TARSHA (CHIEF FINANCIAL OFFICER)
Parent OrganizationCHARLES DREW HEALTH CENTER, INC.
NPI Enumeration Date04/02/2019

Related Entities

Other providers sharing the same authorized official: JACKSON, TARSHA

ProviderCityStateTotal Paid
CHARLES DREW HEALTH CENTER, INC OMAHA NE $438K
CHARLES DREW HEALTH CENTER, INC. OMAHA NE $246K
CHARLES DREW HEALTH CENTER OMAHA NE $216K
CHARLES DREW HEALTH CENTER, INC OMAHA NE $133K
CHARLES DREW HEALTH CENTER INC OMAHA NE $123K
CHARLES DREW HEALTH CENTER INC OMAHA NE $33K
CHARLES DREW HEALTH CENTER, INC OMAHA NE $23K
CHARLES DREW HEALTH CENTER INC OMAHA NE $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 853 $16K
2022 32 $547.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 92 77 $5K
0012A 122 88 $3K
0002A 77 70 $3K
0001A 65 64 $2K
0071A 32 31 $1K
0072A 31 31 $1K
0064A 18 18 $703.98
90686 14 14 $205.72
91301 208 158 $0.00
91307 74 72 $0.00
91306 18 18 $0.00
91300 134 121 $0.00