MARILLAC COMMUNITY HEALTH CENTERS
NPI: 1982381752
· GOULD, AR 71643
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/03/2023
Provider Details
Related Entities
Other providers sharing the same authorized official: OATIS-GASKEW, TANYELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
336 |
$24.82 |
| 2024 |
1,401 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
452 |
263 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
134 |
$300.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
29 |
$112.54 |
| 3008F |
|
356 |
212 |
$0.00 |
| 3074F |
|
77 |
42 |
$0.00 |
| 3351F |
|
207 |
107 |
$0.00 |
| 1036F |
|
71 |
27 |
$0.00 |
| 3078F |
|
106 |
59 |
$0.00 |
| 1160F |
|
188 |
106 |
$0.00 |