NPI: 1942450432 · LEWISTOWN, MT 59457 · Federally Qualified Health Center (FQHC) · NPI assigned 09/22/2008
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 09/22/2008 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,006 | $0.00 |
| 2019 | 4,695 | $0.00 |
| 2020 | 2,756 | $0.00 |
| 2021 | 3,470 | $0.00 |
| 2022 | 3,971 | $0.00 |
| 2023 | 3,804 | $0.00 |
| 2024 | 3,442 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80305 | 371 | 278 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 114 | 112 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,984 | 2,786 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 140 | 70 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 317 | 263 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 1,061 | 587 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 148 | 142 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 104 | 100 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 115 | 73 | $0.00 |
| 81003 | 72 | 61 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15 | 15 | $0.00 |
| 99442 | 13 | 12 | $0.00 | |
| 86328 | 26 | 26 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,985 | 1,779 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8,537 | 6,710 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 957 | 909 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,638 | 3,964 | $0.00 |
| 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 | 948 | 791 | $0.00 |
| 90656 | 13 | 13 | $0.00 | |
| 90686 | 159 | 155 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 876 | 679 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 1,479 | 922 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 42 | 42 | $0.00 |
| 99441 | 16 | 14 | $0.00 | |
| 90674 | 14 | 14 | $0.00 |