MOUNTAIN FAMILY HEALTH CENTERS
NPI: 1740879873
· BASALT, CO 81621
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/13/2021
Provider Details
| Authorized Official | BROOKS, ROSS (CEO) |
| Parent Organization | MOUNTAIN FAMILY HEALTH CENTERS |
| NPI Enumeration Date | 01/13/2021 |
Related Entities
Other providers sharing the same authorized official: BROOKS, ROSS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
82 |
$2K |
| 2024 |
204 |
$22K |
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 |
150 |
117 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$2K |
| 90656 |
|
15 |
14 |
$61.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
63 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |