NPI: 1508049008 · MONROE, WA 98272 · Federally Qualified Health Center (FQHC) · NPI assigned 12/07/2007
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 12/07/2007 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,427 | $32K |
| 2019 | 1,052 | $35K |
| 2020 | 578 | $13K |
| 2021 | 661 | $24K |
| 2022 | 1,146 | $34K |
| 2023 | 3,108 | $95K |
| 2024 | 5,203 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,575 | 5,029 | $193K |
| T1015 | Clinic visit/encounter, all-inclusive | 1,780 | 1,559 | $36K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 604 | 558 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 87 | 85 | $6K |
| 90686 | 354 | 342 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 67 | 66 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | 383 | 377 | $2K |
| 99442 | 50 | 50 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 39 | 37 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 27 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 193 | 185 | $2K |
| 91320 | 14 | 14 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 32 | 30 | $965.03 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 39 | 36 | $881.82 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 181 | 164 | $840.68 |
| 90656 | 95 | 94 | $760.13 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 114 | 112 | $717.54 |
| 99232 | Subsequent hospital care, per day, moderate complexity | 22 | 12 | $667.15 |
| 90480 | 26 | 26 | $622.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 32 | 30 | $497.47 |
| 97802 | 15 | 15 | $297.64 | |
| 99441 | 16 | 13 | $279.66 | |
| 90674 | 17 | 17 | $263.57 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13 | 13 | $120.02 |
| 90688 | 20 | 20 | $49.48 | |
| 1159F | 690 | 647 | $0.00 | |
| 3078F | 860 | 784 | $0.00 | |
| 1160F | 469 | 438 | $0.00 | |
| 3074F | 955 | 873 | $0.00 | |
| 1126F | 37 | 33 | $0.00 | |
| 3044F | 237 | 219 | $0.00 | |
| 3079F | 45 | 43 | $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 | 73 | 68 | $0.00 |
| 3075F | 14 | 14 | $0.00 |