NPI: 1639592256 · HANNIBAL, MO 63401 · Community/Behavioral Health Agency · NPI assigned 02/03/2014
Authorized official CONOVER, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | CONOVER, MARK (CHIEF REVENUE OFFICER) |
| Parent Organization | PREFERRED FAMILY HEALTHCARE |
| NPI Enumeration Date | 02/03/2014 |
Other providers sharing the same authorized official: CONOVER, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,391 | $321K |
| 2019 | 6,577 | $336K |
| 2020 | 3,347 | $141K |
| 2021 | 4,948 | $261K |
| 2022 | 9,688 | $731K |
| 2023 | 11,185 | $899K |
| 2024 | 6,252 | $493K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8,639 | 7,666 | $533K |
| T1015 | Clinic visit/encounter, all-inclusive | 3,594 | 2,769 | $528K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,479 | 4,141 | $445K |
| D0230 | Intraoral - periapical each additional radiographic image | 7,936 | 2,680 | $245K |
| D0220 | Intraoral - periapical first radiographic image | 4,703 | 4,156 | $208K |
| D7140 | Extraction, erupted tooth or exposed root | 1,641 | 659 | $205K |
| D0140 | Limited oral evaluation - problem focused | 2,449 | 2,174 | $204K |
| D0330 | Panoramic radiographic image | 1,584 | 1,417 | $175K |
| D0274 | Bitewings - four radiographic images | 2,736 | 2,426 | $159K |
| 90832 | Psychotherapy, 30 minutes with patient | 2,068 | 1,021 | $107K |
| 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 | 3,551 | 3,332 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 708 | 661 | $77K |
| D4910 | 421 | 380 | $58K | |
| D1110 | Prophylaxis - adult | 349 | 315 | $36K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1,224 | 1,129 | $22K |
| 90834 | Psychotherapy, 45 minutes with patient | 382 | 239 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 36 | 26 | $13K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 119 | 116 | $13K |
| 80305 | 884 | 779 | $9K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 145 | 101 | $8K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 46 | 40 | $5K |
| 90791 | Psychiatric diagnostic evaluation | 120 | 112 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 38 | 38 | $3K |
| D0120 | Periodic oral evaluation - established patient | 29 | 25 | $2K |
| 99386 | 14 | 13 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 246 | 233 | $2K |
| 99385 | 13 | 13 | $1K | |
| 90837 | Psychotherapy, 53 minutes with patient | 34 | 28 | $898.08 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 61 | 55 | $897.47 |
| D9996 | 12 | 12 | $758.00 | |
| 83655 | 14 | 14 | $244.62 | |
| 81025 | 113 | 105 | $0.00 |