NPI: 1619970795 · CHINOOK, MT 59523 · Federally Qualified Health Center (FQHC) · NPI assigned 05/23/2005
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 05/23/2005 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,447 | $0.00 |
| 2019 | 1,449 | $0.00 |
| 2020 | 3,001 | $0.00 |
| 2021 | 3,716 | $0.00 |
| 2022 | 3,324 | $0.00 |
| 2023 | 2,182 | $0.00 |
| 2024 | 1,249 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 203 | 140 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 845 | 661 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 335 | 313 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 109 | 104 | $0.00 |
| 80305 | 1,969 | 1,315 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 30 | 28 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 495 | 461 | $0.00 |
| 81003 | 44 | 43 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 15 | 15 | $0.00 |
| 99442 | 17 | 15 | $0.00 | |
| 98968 | 31 | 28 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 99 | 48 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15 | 15 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,695 | 6,297 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,322 | 1,169 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 564 | 523 | $0.00 |
| 90686 | 81 | 79 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 1,417 | 1,028 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 716 | 529 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 263 | 250 | $0.00 |
| 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 | 74 | 54 | $0.00 |
| 90651 | 17 | 15 | $0.00 |