CENTERWELL SENIOR PRIMARY CARE (NV) PC SOS Verified
6360 BOULDER HWY, LAS VEGAS, NV 89122
NPI Number
1831765692
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: CenterWell Senior Primary Care (NV), P.C.
Entity Number: E6300802020-4
Entity Type: Foreign Corporation
Entity Status: Active
Formation Date: 2020-04-29
Status Changed: 2020-04-29
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Erica Savage-Jeter,M.D. | 101 E. Main St., Louisville, KY | Active |
| Secretary | Erica Savage-Jeter, M.D | 101 E. Main St., Louisville, KY | Active |
| Treasurer | Erica Savage-Jeter, M.D | 101 E. Main St., Louisville, KY | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2022 | $0 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 3008F | Medical service or procedure | 33 | $0 | 0.0% | $0 |
| 1159F | Medical service or procedure | 21 | $0 | 0.0% | $0 |
| 3074F | Medical service or procedure | 12 | $0 | 0.0% | $0 |