MARILLAC CLINIC, INC
NPI: 1801530928
· GRAND JUNCTION, CO 81501
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/25/2022
$198K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RAMACHANDRAN, LATA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,171 |
$96K |
| 2024 |
2,377 |
$102K |
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 |
526 |
450 |
$135K |
| 1036F |
|
273 |
240 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
54 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
110 |
56 |
$14K |
| 1159F |
|
402 |
361 |
$8K |
| 2000F |
|
414 |
372 |
$3K |
| 2001F |
|
453 |
406 |
$643.42 |
| 2010F |
|
492 |
437 |
$0.00 |
| 3074F |
|
206 |
186 |
$0.00 |
| 96127 |
|
70 |
66 |
$0.00 |
| 3008F |
|
468 |
418 |
$0.00 |
| 3079F |
|
47 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
34 |
$0.00 |
| 3078F |
|
175 |
162 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
221 |
198 |
$0.00 |
| 97811 |
|
87 |
41 |
$0.00 |
| 1160F |
|
402 |
361 |
$0.00 |
| 97810 |
|
86 |
41 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |