NPI: 1689739062 · CAHOKIA, IL 62206 · Federally Qualified Health Center (FQHC) · NPI assigned 12/26/2006
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 12/26/2006 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 361 | $20K |
| 2019 | 874 | $29K |
| 2020 | 362 | $13K |
| 2021 | 555 | $31K |
| 2022 | 412 | $25K |
| 2023 | 510 | $46K |
| 2024 | 1,183 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,602 | 1,337 | $230K |
| 3725F | 125 | 115 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 335 | 291 | $0.00 |
| 99173 | 474 | 394 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 367 | 292 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 198 | 188 | $0.00 |
| 90715 | 112 | 82 | $0.00 | |
| 90734 | 138 | 111 | $0.00 | |
| 3078F | 100 | 91 | $0.00 | |
| 1160F | 15 | 15 | $0.00 | |
| 90651 | 63 | 62 | $0.00 | |
| 3008F | 246 | 225 | $0.00 | |
| 96127 | 85 | 82 | $0.00 | |
| 1036F | 134 | 120 | $0.00 | |
| 3074F | 115 | 105 | $0.00 | |
| 99384 | 14 | 14 | $0.00 | |
| 92551 | 32 | 32 | $0.00 | |
| 99383 | 21 | 19 | $0.00 | |
| 90686 | 44 | 44 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 25 | 25 | $0.00 |