ANTHONY L. JORDAN HEALTH CORPORATION
NPI: 1750700399
· ROCHESTER, NY 14621
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/10/2014
Provider Details
| Authorized Official | GRAHAM, MONICA (CREDENTIALING) |
| Parent Organization | ANTHONY L. JORDAN HEALTH CORPORATION |
| NPI Enumeration Date | 04/10/2014 |
Related Entities
Other providers sharing the same authorized official: GRAHAM, MONICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
922 |
$85K |
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 |
810 |
429 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
18 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
29 |
$535.50 |