JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
NPI: 1689870065
· LITTLE ROCK, AR 72202
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/22/2007
$389K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, LARNELL (EXECUTIVE DIRECTOR) |
| Parent Organization | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| NPI Enumeration Date | 06/22/2007 |
Related Entities
Other providers sharing the same authorized official: DAVIS, LARNELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
322 |
$65K |
| 2019 |
485 |
$103K |
| 2020 |
311 |
$81K |
| 2021 |
175 |
$42K |
| 2022 |
223 |
$48K |
| 2023 |
195 |
$41K |
| 2024 |
49 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,760 |
1,418 |
$389K |