NPI: 1588792162 · ESMONT, VA 22937 · Federally Qualified Health Center (FQHC) · NPI assigned 03/02/2007
Authorized official ALLBAUGH, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | ALLBAUGH, CHARLES (CFO) |
| NPI Enumeration Date | 03/02/2007 |
Other providers sharing the same authorized official: ALLBAUGH, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 779 | $25K |
| 2019 | 1,061 | $42K |
| 2020 | 305 | $13K |
| 2021 | 893 | $37K |
| 2022 | 1,735 | $76K |
| 2023 | 3,502 | $94K |
| 2024 | 1,382 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,358 | 2,900 | $173K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,123 | 1,067 | $82K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 301 | 281 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 312 | 292 | $11K |
| 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 | 402 | 269 | $4K |
| 1160F | 949 | 868 | $4K | |
| 1159F | 954 | 872 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 216 | 203 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 16 | 16 | $3K |
| 90686 | 136 | 136 | $2K | |
| 1126F | 460 | 412 | $1K | |
| 3008F | 610 | 520 | $1K | |
| 1125F | 247 | 230 | $1K | |
| 0002A | 29 | 29 | $1K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 14 | $1K |
| 3074F | 126 | 123 | $950.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 66 | 58 | $829.15 |
| 96127 | 104 | 99 | $714.74 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 99 | 88 | $604.22 |
| 0001A | 15 | 15 | $600.00 | |
| 87428 | 26 | 26 | $495.04 | |
| 0012A | 13 | 13 | $480.00 | |
| 0011A | 13 | 13 | $480.00 | |
| 3078F | 56 | 50 | $275.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $22.00 |