NPI: 1457014003 · HARDIN, MT 59034 · Federally Qualified Health Center (FQHC) · NPI assigned 10/20/2021
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| Parent Organization | BIGHORN VALLEY HEALTH CENTER, INCORPORATED |
| NPI Enumeration Date | 10/20/2021 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 7,895 | $0.00 |
| 2023 | 9,705 | $0.00 |
| 2024 | 5,335 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 103 | 90 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 88 | 82 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 953 | 894 | $0.00 |
| 81003 | 864 | 783 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 680 | 660 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 481 | 374 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 414 | 379 | $0.00 |
| 86328 | 271 | 262 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1,105 | 542 | $0.00 |
| 81025 | 378 | 343 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 131 | 125 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 857 | 644 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 449 | 322 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 139 | 130 | $0.00 |
| D1110 | Prophylaxis - adult | 126 | 122 | $0.00 |
| 80305 | 447 | 389 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 141 | 138 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 198 | 195 | $0.00 |
| 90670 | 24 | 24 | $0.00 | |
| 90715 | 16 | 16 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 94 | 84 | $0.00 |
| D0330 | Panoramic radiographic image | 167 | 164 | $0.00 |
| 90734 | 16 | 16 | $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 | 273 | 222 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,676 | 4,957 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 354 | 306 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 145 | 133 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 821 | 624 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 68 | 68 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,785 | 3,311 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,547 | 1,421 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,022 | 969 | $0.00 |
| 90686 | 301 | 298 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 430 | 328 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 140 | 136 | $0.00 |
| 90656 | 28 | 28 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 114 | 111 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0.00 |
| 90651 | 63 | 62 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 14 | 14 | $0.00 |