CRUSADERS CENTRAL CLINIC ASSOCIATION
NPI: 1811419245
· SOUTH BELOIT, IL 61080
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/07/2017
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, SAMUEL (PRESIDENT & CEO) |
| Parent Organization | CRUSADERS CENTRAL CLINIC ASSOCIATION |
| NPI Enumeration Date | 07/07/2017 |
Related Entities
Other providers sharing the same authorized official: MILLER, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$6K |
| 2019 |
80 |
$10K |
| 2020 |
88 |
$12K |
| 2021 |
340 |
$36K |
| 2022 |
328 |
$34K |
| 2023 |
190 |
$31K |
| 2024 |
377 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,101 |
986 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
192 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
95 |
80 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$0.00 |