NPI: 1700813052 · UTICA, MS 39175 · Federally Qualified Health Center (FQHC) · NPI assigned 06/26/2006
Authorized official CHAPMAN, JASMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | CHAPMAN, JASMIN (CEO) |
| NPI Enumeration Date | 06/26/2006 |
Other providers sharing the same authorized official: CHAPMAN, JASMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,824 | $112K |
| 2019 | 1,818 | $99K |
| 2020 | 1,680 | $50K |
| 2021 | 1,122 | $26K |
| 2022 | 1,317 | $26K |
| 2023 | 1,342 | $16K |
| 2024 | 583 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,689 | 1,442 | $210K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,178 | 1,344 | $114K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 104 | 71 | $5K |
| 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 | 1,208 | 639 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 31 | 26 | $3K |
| 99401 | 175 | 164 | $927.10 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 136 | 120 | $315.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 625 | 574 | $0.00 |
| 85018 | 376 | 318 | $0.00 | |
| 82962 | 25 | 24 | $0.00 | |
| 1126F | 12 | 12 | $0.00 | |
| 92551 | 596 | 527 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 143 | 86 | $0.00 |
| 3008F | 103 | 94 | $0.00 | |
| 3351F | 15 | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 280 | 249 | $0.00 |
| 1036F | 137 | 120 | $0.00 | |
| 90688 | 17 | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 121 | 112 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 214 | 201 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 70 | 70 | $0.00 |
| 99173 | 576 | 513 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 96 | 90 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 210 | 190 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 340 | 317 | $0.00 |
| 1160F | 18 | 18 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 83 | 73 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 27 | 25 | $0.00 |
| 1159F | 18 | 18 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 17 | 17 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 46 | 31 | $0.00 |