NPI: 1336821115 · HARDIN, MT 59034 · Federally Qualified Health Center (FQHC) · NPI assigned 08/02/2023
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 08/02/2023 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 295 | $0.00 |
| 2024 | 1,958 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 81003 | 20 | 15 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18 | 18 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 55 | 40 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 36 | 36 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 317 | 308 | $0.00 |
| 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 | 122 | 112 | $0.00 |
| 90697 | 14 | 13 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 648 | 604 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 740 | 690 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 214 | 204 | $0.00 |
| 90686 | 30 | 29 | $0.00 | |
| 90677 | 14 | 13 | $0.00 |