NPI: 1841756749 · ANDERSON, IN 46016 · 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 | 3,917 | $84K |
| 2020 | 7,142 | $236K |
| 2021 | 22,965 | $1.20M |
| 2022 | 41,799 | $2.41M |
| 2023 | 27,947 | $1.29M |
| 2024 | 11,496 | $568K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 39,596 | 18,873 | $2.43M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15,705 | 9,108 | $1.17M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18,163 | 10,144 | $903K |
| D9999 | Unspecified adjunctive procedure, by report | 8,224 | 4,544 | $250K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 878 | 475 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 1,586 | 991 | $86K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,180 | 850 | $84K |
| D0140 | Limited oral evaluation - problem focused | 2,481 | 1,587 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,513 | 1,654 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,089 | 1,347 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 976 | 364 | $67K |
| D1110 | Prophylaxis - adult | 1,590 | 1,022 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 808 | 459 | $48K |
| D0330 | Panoramic radiographic image | 771 | 522 | $31K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,451 | 694 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,941 | 1,669 | $30K |
| D0120 | Periodic oral evaluation - established patient | 1,342 | 866 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 349 | 229 | $24K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,404 | 774 | $23K |
| 80305 | 2,082 | 1,089 | $22K | |
| D0220 | Intraoral - periapical first radiographic image | 2,089 | 1,295 | $22K |
| 90837 | Psychotherapy, 53 minutes with patient | 245 | 89 | $16K |
| D1206 | Topical application of fluoride varnish | 793 | 555 | $15K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 121 | 79 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 182 | 90 | $12K |
| D0274 | Bitewings - four radiographic images | 426 | 258 | $11K |
| 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 | 489 | 366 | $10K |
| 99215 | Prolong outpt/office vis | 103 | 74 | $10K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 128 | 98 | $8K |
| 90791 | Psychiatric diagnostic evaluation | 119 | 73 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 120 | 65 | $7K |
| D1120 | Prophylaxis - child | 194 | 154 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 410 | 243 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 75 | 38 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 34 | 15 | $3K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 71 | 59 | $2K |
| 90686 | 412 | 296 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 47 | 30 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 28 | 12 | $2K |
| 92551 | 476 | 422 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 245 | 192 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 52 | 44 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 30 | 30 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 31 | 16 | $922.38 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 77 | 46 | $866.34 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13 | 12 | $744.81 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 33 | 26 | $408.76 |
| 99173 | 492 | 433 | $385.88 | |
| 80061 | Lipid panel | 56 | 33 | $311.46 |
| 90651 | 307 | 180 | $225.00 | |
| 82962 | 66 | 57 | $154.12 | |
| 81002 | 86 | 60 | $120.84 | |
| 90734 | 60 | 25 | $0.00 | |
| 90715 | 27 | 12 | $0.00 |