NPI: 1073164125 · TAHLEQUAH, OK 74464 · Federally Qualified Health Center (FQHC) · NPI assigned 09/20/2019
Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
| Authorized Official | ROSENTHAL, SCOTT (CEO) |
| NPI Enumeration Date | 09/20/2019 |
Other providers sharing the same authorized official: ROSENTHAL, SCOTT
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 315 | $30K |
| 2020 | 2,227 | $226K |
| 2021 | 3,517 | $349K |
| 2022 | 4,363 | $442K |
| 2023 | 4,584 | $497K |
| 2024 | 3,026 | $365K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 9,925 | 9,207 | $1.85M |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 163 | 163 | $27K |
| 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 | 333 | 305 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,098 | 2,030 | $8K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,853 | 2,780 | $6K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,034 | 1,033 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 805 | 805 | $1K |
| 95115 | 129 | 52 | $821.63 | |
| 99205 | Prolong outpt/office vis | 276 | 276 | $780.02 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 230 | 229 | $98.88 |
| 92567 | 121 | 117 | $14.55 | |
| 99215 | Prolong outpt/office vis | 65 | 65 | $0.00 |