JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
NPI: 1730385105
· ALTHEIMER, AR 72004
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/22/2007
$156K
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 |
98 |
$20K |
| 2019 |
164 |
$37K |
| 2020 |
144 |
$37K |
| 2021 |
74 |
$17K |
| 2022 |
100 |
$24K |
| 2023 |
46 |
$12K |
| 2024 |
29 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
655 |
563 |
$156K |