NPI: 1568846962 · POWELL, WY 82435 · Federally Qualified Health Center (FQHC) · NPI assigned 07/15/2015
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 07/15/2015 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 329 | $68K |
| 2019 | 307 | $77K |
| 2020 | 429 | $105K |
| 2021 | 380 | $96K |
| 2022 | 380 | $35K |
| 2023 | 544 | $89K |
| 2024 | 483 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,295 | 1,682 | $559K |
| 90832 | Psychotherapy, 30 minutes with patient | 325 | 158 | $12K |
| Q3014 | Telehealth originating site facility fee | 50 | 26 | $603.52 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25 | 25 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 157 | 131 | $0.00 |