BEAR LAKE COMMUNITY HEALTH CENTER, INC.
NPI: 1689754475
· GARDEN CITY, UT 84028
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/16/2006
$3.79M
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, JORGE (CEO) |
| NPI Enumeration Date | 10/16/2006 |
Related Entities
Other providers sharing the same authorized official: GARCIA, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,700 |
$405K |
| 2019 |
6,226 |
$585K |
| 2020 |
6,437 |
$581K |
| 2021 |
10,471 |
$859K |
| 2022 |
11,298 |
$900K |
| 2023 |
5,714 |
$409K |
| 2024 |
800 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,134 |
14,281 |
$2.90M |
| 99214 |
|
7,620 |
6,660 |
$374K |
| 99213 |
|
10,778 |
9,470 |
$339K |
| D9999 |
|
863 |
692 |
$108K |
| 90834 |
|
2,681 |
1,170 |
$41K |
| 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 |
726 |
542 |
$9K |
| D0150 |
|
26 |
26 |
$4K |
| 36415 |
|
1,894 |
1,694 |
$3K |
| 87811 |
|
159 |
152 |
$3K |
| 80305 |
|
316 |
269 |
$2K |
| 90471 |
|
324 |
306 |
$1K |
| 99204 |
|
21 |
17 |
$1K |
| D0120 |
|
30 |
29 |
$1K |
| 99211 |
|
47 |
43 |
$1K |
| D1120 |
|
25 |
25 |
$859.80 |
| 99203 |
|
16 |
13 |
$586.48 |
| D1206 |
|
14 |
14 |
$380.20 |
| D0274 |
|
43 |
42 |
$232.89 |
| 99000 |
|
23 |
23 |
$92.69 |
| 90837 |
|
50 |
24 |
$15.00 |
| 36416 |
|
45 |
43 |
$6.01 |
| 96127 |
|
271 |
132 |
$0.21 |
| 90833 |
|
129 |
89 |
$0.00 |
| 87804 |
|
27 |
16 |
$0.00 |
| D0251 |
|
16 |
13 |
$0.00 |
| 99212 |
|
13 |
12 |
$0.00 |
| 87880 |
|
13 |
13 |
$0.00 |
| 81002 |
|
30 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
42 |
25 |
$0.00 |
| 90686 |
|
73 |
72 |
$0.00 |
| 96372 |
|
15 |
12 |
$0.00 |
| D0272 |
|
30 |
28 |
$0.00 |
| 1036F |
|
101 |
78 |
$0.00 |
| 90688 |
|
14 |
12 |
$0.00 |
| D0140 |
|
21 |
12 |
$0.00 |
| 90792 |
|
16 |
12 |
$0.00 |