Medicaid Provider Spending

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

MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.

NPI: 1710329958 · PROVO, UT 84601 · Pharmacist · NPI assigned 07/29/2013

$5K
Total Medicaid Paid
211
Total Claims
197
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialBAILEY, TODD (EXECUTIVE DIRECTOR)
Parent OrganizationMOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
NPI Enumeration Date07/29/2013

Related Entities

Other providers sharing the same authorized official: BAILEY, TODD

ProviderCityStateTotal Paid
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC. VERNAL UT $222K
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC VERNAL UT $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $3K
2019 42 $1K
2020 65 $835.29

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 117 111 $3K
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 94 86 $1K