NPI: 1275512063 · NEW CANTON, VA 23123 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2006
Authorized official ALLBAUGH, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | ALLBAUGH, CHARLES (CFO) |
| NPI Enumeration Date | 01/11/2006 |
Other providers sharing the same authorized official: ALLBAUGH, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,612 | $55K |
| 2019 | 12,785 | $537K |
| 2020 | 17,199 | $706K |
| 2021 | 17,730 | $527K |
| 2022 | 27,429 | $620K |
| 2023 | 34,789 | $522K |
| 2024 | 55,498 | $583K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22,455 | 19,787 | $1.16M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13,430 | 12,542 | $845K |
| 90834 | Psychotherapy, 45 minutes with patient | 3,100 | 2,207 | $212K |
| 90832 | Psychotherapy, 30 minutes with patient | 2,890 | 2,110 | $161K |
| D1110 | Prophylaxis - adult | 3,996 | 3,900 | $148K |
| 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 | 7,319 | 6,086 | $124K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,108 | 787 | $113K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3,417 | 3,127 | $106K |
| D0120 | Periodic oral evaluation - established patient | 4,646 | 4,534 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 1,135 | 526 | $72K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1,453 | 1,320 | $59K |
| D1206 | Topical application of fluoride varnish | 2,260 | 2,211 | $42K |
| D0140 | Limited oral evaluation - problem focused | 2,272 | 1,771 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,468 | 1,244 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 3,962 | 3,188 | $33K |
| D1120 | Prophylaxis - child | 860 | 837 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 662 | 477 | $27K |
| D1354 | 2,125 | 664 | $27K | |
| 96127 | 4,687 | 4,342 | $25K | |
| 90686 | 1,372 | 1,341 | $19K | |
| 0012A | 386 | 376 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 944 | 846 | $13K |
| D1351 | Sealant - per tooth | 395 | 147 | $13K |
| 0011A | 442 | 429 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 152 | 152 | $12K |
| D0330 | Panoramic radiographic image | 237 | 218 | $12K |
| D0274 | Bitewings - four radiographic images | 462 | 447 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 833 | 785 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,309 | 1,264 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 865 | 481 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 114 | 78 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 468 | 442 | $5K |
| 87428 | 221 | 217 | $5K | |
| 81003 | 4,652 | 4,280 | $5K | |
| D0272 | Bitewings - two radiographic images | 246 | 235 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 326 | 276 | $4K |
| 80305 | 422 | 395 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 69 | 65 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 45 | 45 | $3K |
| 81025 | 579 | 559 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 312 | 219 | $3K |
| 1160F | 17,529 | 15,608 | $3K | |
| 1159F | 17,641 | 15,680 | $3K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 103 | 54 | $2K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 187 | 185 | $2K |
| 0064A | 64 | 63 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14 | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 24 | 24 | $2K |
| 0002A | 51 | 51 | $2K | |
| 99442 | 27 | 26 | $2K | |
| 90715 | 80 | 79 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 339 | 330 | $1K |
| 99443 | 13 | 12 | $1K | |
| 90656 | 107 | 107 | $1K | |
| 0001A | 53 | 47 | $1K | |
| 99383 | 14 | 14 | $895.56 | |
| 99406 | 231 | 226 | $864.29 | |
| 3008F | 11,081 | 10,027 | $675.00 | |
| 1126F | 7,541 | 6,877 | $450.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 105 | 104 | $422.80 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 68 | 65 | $417.98 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 85 | 70 | $412.93 |
| 90734 | 55 | 48 | $412.78 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $354.42 |
| D1208 | Topical application of fluoride, excluding varnish | 25 | 24 | $353.43 |
| 87210 | 113 | 108 | $338.87 | |
| 81001 | 96 | 90 | $233.23 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 24 | 24 | $226.17 |
| 0004A | 14 | 13 | $200.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 24 | 24 | $195.52 |
| 3044F | 125 | 119 | $187.59 | |
| 3078F | 4,317 | 3,892 | $75.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 47 | 30 | $52.00 |
| 3074F | 4,999 | 4,486 | $50.00 | |
| 85018 | 13 | 12 | $27.03 | |
| 1125F | 2,267 | 2,080 | $0.00 | |
| 3079F | 1,223 | 1,144 | $0.00 | |
| 3075F | 387 | 365 | $0.00 | |
| 4000F | 386 | 368 | $0.00 | |
| 3080F | 126 | 119 | $0.00 | |
| 3077F | 311 | 288 | $0.00 | |
| 2028F | 13 | 13 | $0.00 |