Medicaid Provider Spending

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

EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.

NPI: 1669709655 · PITTSBURGH, PA 15221 · Federally Qualified Health Center (FQHC) · NPI assigned 11/11/2009

$52K
Total Medicaid Paid
531
Total Claims
479
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, RODNEY (CEO)
NPI Enumeration Date11/11/2009

Related Entities

Other providers sharing the same authorized official: JONES, RODNEY

ProviderCityStateTotal Paid
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. PITTSBURGH PA $1.55M
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. PITTSBURGH PA $1.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 47 $6K
2021 400 $34K
2024 84 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 398 365 $52K
D0120 Periodic oral evaluation - established patient 12 12 $0.00
D0230 Intraoral - periapical each additional radiographic image 42 26 $0.00
D0220 Intraoral - periapical first radiographic image 47 44 $0.00
D1110 Prophylaxis - adult 17 17 $0.00
D0274 Bitewings - four radiographic images 15 15 $0.00