MT. ENTERPRISE COMMUNITY HEALTH CLINIC
NPI: 1952342149
· MOUNT ENTERPRISE, TX 75681
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/09/2006
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, KENNETH (CEO) |
| NPI Enumeration Date | 06/09/2006 |
Related Entities
Other providers sharing the same authorized official: WHITE, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
239 |
$17K |
| 2021 |
1,045 |
$74K |
| 2023 |
265 |
$24K |
| 2024 |
739 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,368 |
1,236 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
553 |
511 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
209 |
$14K |
| 87428 |
|
70 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$861.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
36 |
$238.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$7.87 |