JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
NPI: 1932305737
· COLLEGE STATION, AR 72053
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/27/2007
$587K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, LARNELL (EXECUTIVE DIRECTOR) |
| Parent Organization | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| NPI Enumeration Date | 06/27/2007 |
Related Entities
Other providers sharing the same authorized official: DAVIS, LARNELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
407 |
$79K |
| 2019 |
457 |
$105K |
| 2020 |
508 |
$126K |
| 2021 |
442 |
$98K |
| 2022 |
326 |
$75K |
| 2023 |
309 |
$65K |
| 2024 |
171 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,562 |
2,215 |
$585K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
48 |
$2K |