NPI: 1669101184 · PRYOR, OK 74361 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2022
Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
| Authorized Official | ROSENTHAL, SCOTT (CEO) |
| NPI Enumeration Date | 06/09/2022 |
Other providers sharing the same authorized official: ROSENTHAL, SCOTT
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 368 | $35K |
| 2023 | 2,970 | $301K |
| 2024 | 3,762 | $393K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,504 | 3,078 | $697K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,405 | 1,267 | $20K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 928 | 861 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 311 | 306 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 475 | 453 | $1K |
| 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 | 15 | 12 | $526.45 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 359 | 349 | $294.40 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 42 | 42 | $197.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 27 | 27 | $98.88 |
| 36415 | Collection of venous blood by venipuncture | 15 | 14 | $54.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19 | 19 | $0.00 |