NPI: 1730645631 · ELWOOD, IN 46036 · Federally Qualified Health Center (FQHC) · NPI assigned 02/15/2019
Authorized official GATES, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | GATES, GARY (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 02/15/2019 |
Other providers sharing the same authorized official: GATES, GARY
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 464 | $11K |
| 2020 | 197 | $9K |
| 2021 | 145 | $0.00 |
| 2022 | 515 | $31K |
| 2023 | 542 | $3K |
| 2024 | 1,307 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 1,705 | 1,011 | $48K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 630 | 487 | $21K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 239 | 216 | $17K |
| T1015 | Clinic visit/encounter, all-inclusive | 410 | 337 | $7K |
| 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 | 102 | 86 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 26 | $883.53 |
| D1110 | Prophylaxis - adult | 15 | 14 | $620.50 |
| D0140 | Limited oral evaluation - problem focused | 14 | 13 | $473.55 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 13 | $169.80 |
| 36415 | Collection of venous blood by venipuncture | 13 | 12 | $48.00 |