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WESTSIDE FAMILY HEALTHCARE, INC
WESTSIDE FAMILY HEALTHCARE, INC
NPI: 1821232869
· BEAR, DE 19701
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/21/2009
$639.13
Total Medicaid Paid
Provider Details
| Authorized Official | FRASER, CHRISTOPHER (PRESIDENT & CEO) |
| Parent Organization | WESTSIDE FAMILY HEALTHCARE, INC. |
| NPI Enumeration Date | 04/21/2009 |
Related Entities
Other providers sharing the same authorized official: FRASER, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
110 |
$639.13 |
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 |
82 |
71 |
$639.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
25 |
$0.00 |