NPI: 1689270852 · HANNIBAL, MO 63401 · Federally Qualified Health Center (FQHC) · NPI assigned 12/11/2020
Authorized official CONOVER, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | CONOVER, MARK (CHIEF REVENUE OFFICER) |
| NPI Enumeration Date | 12/11/2020 |
Other providers sharing the same authorized official: CONOVER, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 527 | $13K |
| 2024 | 580 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 718 | 715 | $23K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 90 | 89 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 279 | 276 | $462.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 20 | 20 | $0.00 |