FORDLAND CLINIC, INC.
NPI: 1639421365
· KIMBERLING CITY, MO 65686
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/04/2012
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | MARSH, ROBERT (EXECUTIVE DIRECTOR) |
| Parent Organization | FORDLAND CLINIC, INC. |
| NPI Enumeration Date | 10/04/2012 |
Related Entities
Other providers sharing the same authorized official: MARSH, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
112 |
$5K |
| 2021 |
191 |
$14K |
| 2022 |
221 |
$14K |
| 2023 |
1,020 |
$79K |
| 2024 |
1,165 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,172 |
1,010 |
$95K |
| 90834 |
Psychotherapy, 45 minutes with patient |
811 |
467 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
593 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
41 |
$6K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$891.60 |