NPI: 1467021014 · DONIPHAN, MO 63935 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2021
Authorized official WHITE, KAREN controls 20+ related entities in our dataset. Read more
| Authorized Official | WHITE, KAREN (CEO) |
| Parent Organization | BIG SPRINGS MEDICAL ASSOCIATION |
| NPI Enumeration Date | 06/18/2021 |
Other providers sharing the same authorized official: WHITE, KAREN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,064 | $115K |
| 2023 | 5,525 | $271K |
| 2024 | 4,101 | $251K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,604 | 5,039 | $404K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 846 | 835 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 672 | 631 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 647 | 631 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 386 | 359 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2,450 | 2,124 | $29K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 58 | 58 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 478 | 373 | $6K |
| 87428 | 188 | 177 | $5K | |
| 87634 | 50 | 47 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 82 | 78 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 49 | 49 | $2K |
| 87807 | 168 | 150 | $2K | |
| 83655 | 166 | 165 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 37 | 31 | $915.28 |
| Q3014 | Telehealth originating site facility fee | 29 | 29 | $800.11 |
| 99173 | 55 | 55 | $535.44 | |
| 85018 | 148 | 147 | $274.05 | |
| 36415 | Collection of venous blood by venipuncture | 27 | 27 | $162.38 |
| 81003 | 72 | 67 | $123.31 | |
| 3008F | 120 | 79 | $0.00 | |
| 1126F | 148 | 97 | $0.00 | |
| 3074F | 105 | 65 | $0.00 | |
| 3078F | 105 | 65 | $0.00 |