NPI: 1366420788 · SPARTA, WI 54656 · Rural Health Clinic/Center · NPI assigned 01/05/2006
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CHIEF FINANICIAL OFFICER) |
| NPI Enumeration Date | 01/05/2006 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,905 | $94K |
| 2019 | 2,280 | $107K |
| 2020 | 1,038 | $55K |
| 2021 | 1,719 | $63K |
| 2022 | 1,241 | $60K |
| 2023 | 858 | $45K |
| 2024 | 767 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,528 | 4,944 | $310K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,398 | 2,972 | $149K |
| 90686 | 404 | 378 | $4K | |
| 0002A | 67 | 64 | $2K | |
| 0001A | 47 | 46 | $2K | |
| 11721 | 13 | 13 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 15 | 15 | $484.04 |
| 90656 | 25 | 25 | $446.50 | |
| G0127 | Trimming of dystrophic nails, any number | 12 | 12 | $238.22 |
| 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 | 15 | 15 | $129.48 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 13 | 13 | $10.64 |
| 91300 | 159 | 148 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 112 | 102 | $0.00 |