COMMUNITY HEALTH IMPROVEMENT CENTER
NPI: 1831635770
· DECATUR, IL 62523
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/17/2017
$1.07M
Total Medicaid Paid
Provider Details
| Authorized Official | ANDRICKS, TANYA (EXECUTIVE DIRECTOR/CEO) |
| Parent Organization | COMMUNITY HEALTH IMPROVEMENT CENTER |
| NPI Enumeration Date | 01/17/2017 |
Related Entities
Other providers sharing the same authorized official: ANDRICKS, TANYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,221 |
$169K |
| 2019 |
10,373 |
$417K |
| 2020 |
6,693 |
$406K |
| 2021 |
961 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,923 |
4,551 |
$1.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,628 |
1,913 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,430 |
2,865 |
$586.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
38 |
$38.60 |
| 80100 |
|
190 |
132 |
$0.00 |
| 96153 |
|
23 |
13 |
$0.00 |