SOUTHERN DOMINION HEALTH SYSTEM, INC.
NPI: 1811256787
· AMELIA, VA 23002
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/11/2012
Provider Details
| Authorized Official | SEAMANS, JILL (CFO) |
| Parent Organization | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| NPI Enumeration Date | 05/11/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,516 |
$6K |
| 2019 |
1,584 |
$13K |
| 2020 |
707 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,813 |
900 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,919 |
1,029 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
75 |
68 |
$97.60 |