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KIAMICHI FAMILY MEDICAL CENTER, INC
KIAMICHI FAMILY MEDICAL CENTER, INC
NPI: 1902269012
· HUGO, OK 74743
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/05/2016
$1.59M
Total Medicaid Paid
Provider Details
| Authorized Official | GILBREATH, AMY (CEO) |
| NPI Enumeration Date | 04/05/2016 |
Related Entities
Other providers sharing the same authorized official: GILBREATH, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,166 |
$195K |
| 2019 |
2,129 |
$192K |
| 2020 |
1,325 |
$121K |
| 2021 |
2,254 |
$203K |
| 2022 |
3,802 |
$344K |
| 2023 |
3,344 |
$302K |
| 2024 |
2,266 |
$235K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,880 |
7,313 |
$1.53M |
| 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 |
1,885 |
1,707 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,880 |
5,481 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
1,027 |
1,018 |
$588.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
317 |
317 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
285 |
$0.00 |