TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI: 1952966301
· LOS ANGELES, CA 90065
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/01/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MINEROS, CRYSTALE (MANAGED CARE DIRECTOR) |
| Parent Organization | TRI-STATE COMMUNITY HEALTHCARE CENTER |
| NPI Enumeration Date | 05/01/2019 |
Related Entities
Other providers sharing the same authorized official: MINEROS, CRYSTALE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
199 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
56 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
13 |
$0.00 |
| 1000F |
|
15 |
12 |
$0.00 |
| 3008F |
|
19 |
14 |
$0.00 |
| 1159F |
|
35 |
28 |
$0.00 |
| 1160F |
|
35 |
28 |
$0.00 |