TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI: 1841703253
· MOHAVE VALLEY, AZ 86440
· Community Health Clinic/Center
· NPI assigned 11/07/2017
$3.07M
Total Medicaid Paid
14,924
Beneficiary Records
Provider Details
| Authorized Official | MANOUKIAN, ARAM (CEO) |
| Parent Organization | TRI-STATE COMMUNITY HEALTHCARE CENTER |
| NPI Enumeration Date | 11/07/2017 |
Related Entities
Other providers sharing the same authorized official: MANOUKIAN, ARAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
28 |
$0.00 |
| 2020 |
2,699 |
$240K |
| 2021 |
2,692 |
$413K |
| 2022 |
3,382 |
$570K |
| 2023 |
6,596 |
$1.16M |
| 2024 |
4,034 |
$685K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,902 |
8,903 |
$3.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,158 |
4,936 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
945 |
705 |
$801.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
285 |
$536.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$29.34 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
28 |
$0.00 |