NORTHEAST FLORIDA HEALTH SERVICES, INC.
NPI: 1992792311
· PIERSON, FL 32180
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/30/2005
$654.99
Total Medicaid Paid
Provider Details
| Authorized Official | GEOGHEGAN, DINA (CREDENTIALING/CONTRACTS ADMIN) |
| Parent Organization | NORTHEAST FLORIDA HEALTH SERVICES, INC. |
| NPI Enumeration Date | 09/30/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
518 |
$0.00 |
| 2019 |
84 |
$166.05 |
| 2020 |
197 |
$310.14 |
| 2021 |
140 |
$0.00 |
| 2022 |
16 |
$178.80 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 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 |
579 |
453 |
$476.19 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$178.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
223 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
53 |
$0.00 |