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AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
NPI: 1982821765
· WARREN, NH 03279
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/20/2007
$275K
Total Medicaid Paid
Provider Details
| Authorized Official | SHANSHALA II, EDWARD (DIRECTOR) |
| Parent Organization | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC |
| NPI Enumeration Date | 04/20/2007 |
Related Entities
Other providers sharing the same authorized official: SHANSHALA II, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
733 |
$75K |
| 2023 |
736 |
$93K |
| 2024 |
513 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,272 |
1,093 |
$275K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
47 |
$69.80 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$2.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
556 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$0.00 |