FALLON MEDICAL COMPLEX INC
NPI: 1700895752
· BAKER, MT 59313
· Rural Health Clinic/Center
· NPI assigned 08/07/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, SELENA (CFO) |
| NPI Enumeration Date | 08/07/2006 |
Related Entities
Other providers sharing the same authorized official: NELSON, SELENA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
668 |
$0.00 |
| 2019 |
650 |
$0.00 |
| 2020 |
452 |
$0.00 |
| 2021 |
501 |
$0.00 |
| 2022 |
614 |
$0.00 |
| 2023 |
480 |
$0.00 |
| 2024 |
288 |
$0.00 |
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 |
780 |
709 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,597 |
2,297 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
249 |
228 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |