NPI: 1306244108 · CHEBOYGAN, MI 49721 · Federally Qualified Health Center (FQHC) · NPI assigned 12/10/2014
Authorized official BATES, RICHARD controls 20+ related entities in our dataset. Read more
| Authorized Official | BATES, RICHARD (INTERIM CEO) |
| NPI Enumeration Date | 12/10/2014 |
Other providers sharing the same authorized official: BATES, RICHARD
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,307 | $86K |
| 2019 | 3,955 | $107K |
| 2020 | 2,644 | $74K |
| 2021 | 4,841 | $139K |
| 2022 | 4,456 | $130K |
| 2023 | 4,586 | $134K |
| 2024 | 3,834 | $120K |
| Code | Description | Claims | Beneficiaries | 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 | 6,510 | 5,463 | $217K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 6,582 | 3,393 | $199K |
| 90832 | Psychotherapy, 30 minutes with patient | 4,991 | 2,798 | $142K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,992 | 3,516 | $111K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 901 | 833 | $35K |
| 90834 | Psychotherapy, 45 minutes with patient | 321 | 234 | $12K |
| 87428 | 504 | 482 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 173 | 173 | $10K |
| 90791 | Psychiatric diagnostic evaluation | 97 | 96 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,143 | 1,094 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 367 | 348 | $8K |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 | 190 | 188 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 69 | 69 | $3K |
| G0008 | Administration of influenza virus vaccine | 275 | 275 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 188 | 181 | $2K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 37 | 37 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 46 | 45 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $1K |
| 90837 | Psychotherapy, 53 minutes with patient | 14 | 12 | $931.80 |
| D1120 | Prophylaxis - child | 25 | 25 | $923.97 |
| 81002 | 533 | 520 | $906.68 | |
| D1351 | Sealant - per tooth | 40 | 17 | $794.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 93 | 93 | $780.64 |
| D1206 | Topical application of fluoride varnish | 25 | 25 | $577.48 |
| 0001A | 13 | 13 | $492.05 | |
| 0002A | 13 | 13 | $492.05 | |
| D0272 | Bitewings - two radiographic images | 15 | 15 | $356.25 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14 | 14 | $245.60 |
| 90688 | 386 | 385 | $97.58 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $28.00 |
| 85018 | 12 | 12 | $9.80 | |
| 90651 | 13 | 13 | $0.00 |