HENNEPIN COUNTY
NPI: 1962147413
· MINNEAPOLIS, MN 55404
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/29/2022
$543K
Total Medicaid Paid
Provider Details
| Authorized Official | ABEL, STEPHANIE (AREA MANAGER) |
| NPI Enumeration Date | 04/29/2022 |
Related Entities
Other providers sharing the same authorized official: ABEL, STEPHANIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
360 |
$163K |
| 2023 |
661 |
$264K |
| 2024 |
329 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
854 |
637 |
$368K |
| 99215 |
Prolong outpt/office vis |
358 |
312 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
56 |
$24K |
| 99406 |
|
64 |
62 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |