BENTON COUNTY
NPI: 1982764882
· CORVALLIS, OR 97333
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/11/2006
$218.00
Total Medicaid Paid
Provider Details
| Authorized Official | MOLLEL, LACEY (HEALTH CENTER DIRECTOR) |
| Parent Organization | BENTON COUNTY |
| NPI Enumeration Date | 12/11/2006 |
Related Entities
Other providers sharing the same authorized official: MOLLEL, LACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
376 |
$0.00 |
| 2019 |
376 |
$218.00 |
| 2020 |
81 |
$0.00 |
| 2023 |
38 |
$0.00 |
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 |
60 |
39 |
$200.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
781 |
570 |
$18.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$0.00 |