SAMUEL U. RODGERS HEALTH CENTER, INC.
NPI: 1982931655
· LIBERTY, MO 64068
· Federally Qualified Health Center (FQHC)
· NPI assigned 11/17/2009
$466K
Total Medicaid Paid
Provider Details
| Authorized Official | THEIS, ROBERT (ACTING CEO) |
| NPI Enumeration Date | 11/17/2009 |
Related Entities
Other providers sharing the same authorized official: THEIS, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
975 |
$71K |
| 2019 |
1,039 |
$86K |
| 2020 |
529 |
$54K |
| 2021 |
726 |
$61K |
| 2022 |
802 |
$73K |
| 2023 |
949 |
$67K |
| 2024 |
809 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,559 |
3,296 |
$380K |
| 83036 |
|
442 |
428 |
$27K |
| 99214 |
|
163 |
149 |
$23K |
| 82962 |
|
809 |
772 |
$11K |
| D1110 |
|
147 |
131 |
$8K |
| D7140 |
|
35 |
25 |
$4K |
| D0120 |
|
127 |
108 |
$4K |
| D0274 |
|
97 |
79 |
$4K |
| 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 |
69 |
64 |
$2K |
| D0140 |
|
38 |
31 |
$2K |
| D0220 |
|
67 |
60 |
$1K |
| 81002 |
|
75 |
62 |
$415.98 |
| G9920 |
Screening performed and negative |
201 |
193 |
$0.00 |