NPI: 1518070481 · HULBERT, OK 74441 · Federally Qualified Health Center (FQHC) · NPI assigned 08/16/2006
Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
| Authorized Official | ROSENTHAL, SCOTT (CEO) |
| NPI Enumeration Date | 08/16/2006 |
Other providers sharing the same authorized official: ROSENTHAL, SCOTT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,223 | $739K |
| 2019 | 4,068 | $359K |
| 2020 | 3,470 | $320K |
| 2021 | 3,905 | $361K |
| 2022 | 5,484 | $509K |
| 2023 | 5,661 | $562K |
| 2024 | 4,288 | $450K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 17,132 | 15,483 | $3.18M |
| 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 | 2,920 | 2,658 | $97K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,810 | 9,124 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3,693 | 3,441 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 220 | 215 | $327.29 |
| 80305 | 22 | 20 | $145.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 244 | 236 | $73.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 90 | 90 | $73.12 |
| 36415 | Collection of venous blood by venipuncture | 84 | 84 | $44.01 |
| 83036 | Hemoglobin; glycosylated (A1C) | 115 | 114 | $37.80 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 245 | 225 | $10.00 |
| 90686 | 32 | 32 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 46 | 46 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 372 | 363 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 32 | 32 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17 | 17 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13 | 13 | $0.00 |