HACKLEY COMMUNITY CARE CENTER INC
NPI: 1922613975
· HOLTON, MI 49425
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/15/2020
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | WEGLARZ, SHERI (COO) |
| NPI Enumeration Date | 09/15/2020 |
Related Entities
Other providers sharing the same authorized official: WEGLARZ, SHERI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,164 |
$49K |
| 2023 |
1,021 |
$49K |
| 2024 |
171 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,251 |
553 |
$108K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,075 |
490 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$0.00 |