GRACELIGHT COMMUNITY HEALTH
NPI: 1740835743
· LOS ANGELES, CA 90017
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/06/2019
$24.04
Total Medicaid Paid
Provider Details
| Authorized Official | PERARD, ELOISA (PRESIDENT & CEO) |
| NPI Enumeration Date | 08/06/2019 |
Related Entities
Other providers sharing the same authorized official: PERARD, ELOISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
77 |
$23.76 |
| 2024 |
1,027 |
$0.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
182 |
$23.76 |
| 3074F |
|
144 |
130 |
$0.15 |
| 3078F |
|
142 |
128 |
$0.13 |
| 1160F |
|
307 |
272 |
$0.00 |
| 1159F |
|
311 |
275 |
$0.00 |