NPI: 1619160504 · HARLEM, MT 59526 · Federally Qualified Health Center (FQHC) · NPI assigned 08/23/2007
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 08/23/2007 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 529 | $125.00 |
| 2019 | 484 | $133.00 |
| 2020 | 181 | $0.00 |
| 2022 | 584 | $0.00 |
| 2023 | 626 | $0.00 |
| 2024 | 432 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,108 | 1,804 | $258.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 50 | 40 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 88 | 87 | $0.00 |
| 80305 | 40 | 26 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 47 | 44 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 150 | 117 | $0.00 |
| D1206 | Topical application of fluoride varnish | 29 | 26 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 98 | 88 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 135 | 127 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 51 | 41 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 15 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 23 | 22 | $0.00 |