SOUTHERN INDIAN HEALTH COUNCIL
NPI: 1922090885
· CAMPO, CA 91906
· Health Service Clinic/Center
· NPI assigned 08/17/2005
$3.01M
Total Medicaid Paid
Provider Details
| Authorized Official | KING, TERRANCE (CFO) |
| NPI Enumeration Date | 08/17/2005 |
Related Entities
Other providers sharing the same authorized official: KING, TERRANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
162 |
$66K |
| 2019 |
492 |
$143K |
| 2020 |
417 |
$131K |
| 2021 |
880 |
$331K |
| 2022 |
1,251 |
$691K |
| 2023 |
1,561 |
$862K |
| 2024 |
1,206 |
$790K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
2,838 |
2,289 |
$1.81M |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,322 |
1,971 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
329 |
306 |
$789.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
177 |
$25.65 |
| 3078F |
|
32 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$0.00 |
| 3074F |
|
29 |
26 |
$0.00 |
| 3008F |
|
37 |
35 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 1000F |
|
17 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
120 |
112 |
$0.00 |