NORTHEAST COMMUNITY CLINIC

NPI: 1891200325 · LOS ANGELES, CA 90015 · Federally Qualified Health Center (FQHC) · NPI assigned 12/06/2017

$42K

Total Medicaid Paid

1,777

Total Claims

1,528

Beneficiaries

Codes Billed

2019-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	LAU, CHRISTOPHER (EXECUTIVE DIRECTOR)
Parent Organization	NORTHEAST COMMUNITY CLINIC
NPI Enumeration Date	12/06/2017

Other providers sharing the same authorized official: LAU, CHRISTOPHER

Provider	City	State	Total Paid
NORTHEAST COMMUNITY CLINIC	WILMINGTON	CA	$51.97M
NORTHEAST COMMUNITY CLINIC	HUNTINGTON PARK	CA	$44.47M
NORTHEAST COMMUNITY CLINIC	HAWTHORNE	CA	$22.34M
NORTHEAST COMMUNITY CLINIC	HARBOR CITY	CA	$12.06M
NORTHEAST COMMUNITY CLINIC	HUNTINGTON PARK	CA	$2.06M
LAU CHIROPRACTIC AND WELLNESS CENTER, LLC	BERLIN	WI	$11K
NORTHEAST COMMUNITY CLINIC	LOS ANGELES	CA	$2K
NORTHEAST COMMUNITY CLINIC	LOS ANGELES	CA	$1K
NORTHEAST COMMUNITY CLINIC	LOS ANGELES	CA	$758.81
NORTHEAST COMMUNITY CLINIC	HAWTHORNE	CA	$34.55

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	1,513	1,283	$39K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	71	65	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	50	48	$244.37
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	143	132	$226.80