COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
NPI: 1801596325
· EAGLE GROVE, IA 50533
· Federally Qualified Health Center (FQHC)
· NPI assigned 03/03/2023
$304K
Total Medicaid Paid
Provider Details
| Authorized Official | KRUCKENBERG, RENAE (CEO) |
| Parent Organization | COMMUNITY HEALTH CENTER OF FORT DODGE, INC. |
| NPI Enumeration Date | 03/03/2023 |
Related Entities
Other providers sharing the same authorized official: KRUCKENBERG, RENAE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
499 |
$36K |
| 2024 |
3,862 |
$268K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
|
857 |
723 |
$179K |
| D9999 |
|
1,361 |
1,146 |
$110K |
| T1015 |
Clinic visit/encounter, all-inclusive |
60 |
40 |
$10K |
| D2391 |
|
98 |
67 |
$750.36 |
| D1120 |
|
152 |
151 |
$623.34 |
| D0150 |
|
274 |
274 |
$535.74 |
| D1206 |
|
283 |
282 |
$517.68 |
| D0330 |
|
242 |
242 |
$517.44 |
| D2392 |
|
109 |
76 |
$493.49 |
| D0120 |
|
220 |
219 |
$448.89 |
| D1110 |
|
170 |
170 |
$447.71 |
| D0274 |
|
197 |
195 |
$286.32 |
| D0272 |
|
41 |
41 |
$111.18 |
| D0140 |
|
107 |
105 |
$62.61 |
| D0220 |
|
104 |
103 |
$25.77 |
| D0210 |
|
29 |
29 |
$1.30 |
| D7140 |
|
43 |
29 |
$0.26 |
| D2393 |
|
14 |
12 |
$0.06 |