NPI: 1164196549 · POWELL, WY 82435 · Federally Qualified Health Center (FQHC) · NPI assigned 08/09/2021
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 08/09/2021 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 42 | $4K |
| 2022 | 211 | $23K |
| 2023 | 118 | $16K |
| 2024 | 12 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 221 | 174 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 13 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44 | 33 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 90 | 71 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 14 | 13 | $0.00 |