NPI: 1568192458 · FORT WAYNE, IN 46805 · Federally Qualified Health Center (FQHC) · NPI assigned 06/14/2022
Authorized official GATES, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | GATES, GARY (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 06/14/2022 |
Other providers sharing the same authorized official: GATES, GARY
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,043 | $102K |
| 2023 | 23,363 | $855K |
| 2024 | 13,987 | $568K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,284 | 2,754 | $379K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,250 | 3,859 | $375K |
| T1015 | Clinic visit/encounter, all-inclusive | 16,296 | 9,816 | $372K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 963 | 577 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 798 | 519 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 729 | 412 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 550 | 363 | $47K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,658 | 955 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,514 | 1,466 | $31K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 197 | 81 | $22K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 114 | 91 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 322 | 245 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 809 | 331 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 241 | 199 | $8K |
| 90837 | Psychotherapy, 53 minutes with patient | 115 | 64 | $7K |
| 99383 | 67 | 30 | $5K | |
| 99384 | 48 | 30 | $3K | |
| 99173 | 1,239 | 836 | $2K | |
| 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 | 33 | 25 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 111 | 94 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 174 | 100 | $1K |
| 90834 | Psychotherapy, 45 minutes with patient | 16 | 12 | $1K |
| 87807 | 82 | 62 | $846.14 | |
| 90474 | 57 | 27 | $736.70 | |
| 90671 | 320 | 216 | $452.20 | |
| 99385 | 13 | 12 | $351.31 | |
| 90686 | 119 | 80 | $346.70 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 64 | 29 | $346.12 |
| 90656 | 44 | 37 | $79.72 | |
| 90651 | 86 | 56 | $0.00 | |
| 90647 | 592 | 300 | $0.00 | |
| 90677 | 49 | 49 | $0.00 | |
| 90723 | 549 | 282 | $0.00 | |
| 90697 | 24 | 24 | $0.00 | |
| 90620 | 41 | 32 | $0.00 | |
| 90710 | 58 | 38 | $0.00 | |
| 90633 | 238 | 135 | $0.00 | |
| 90670 | 321 | 124 | $0.00 | |
| 90734 | 118 | 86 | $0.00 | |
| 90681 | 90 | 38 | $0.00 |