ANTELOPE VALLEY COMMUNITY CLINIC
NPI: 1720537863
· PALMDALE, CA 93552
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/30/2016
$1.64M
Total Medicaid Paid
Provider Details
| Authorized Official | COOK, JAMES (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 09/30/2016 |
Related Entities
Other providers sharing the same authorized official: COOK, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,992 |
$1.28M |
| 2019 |
2,928 |
$356K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,579 |
10,782 |
$1.62M |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,098 |
841 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
204 |
$5K |
| 3008F |
|
17 |
16 |
$0.00 |