NPI: 1972091361 · ARCADIA, WI 54612 · Rural Health Clinic/Center · NPI assigned 05/01/2018
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CFO) |
| NPI Enumeration Date | 05/01/2018 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $2K |
| 2019 | 1,649 | $45K |
| 2020 | 925 | $23K |
| 2021 | 1,198 | $25K |
| 2022 | 1,040 | $22K |
| 2023 | 1,004 | $30K |
| 2024 | 953 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,754 | 2,383 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 416 | 411 | $26K |
| 90834 | Psychotherapy, 45 minutes with patient | 552 | 326 | $24K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 361 | 310 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 253 | 233 | $14K |
| 90686 | 1,462 | 1,376 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 475 | 429 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 57 | 57 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 111 | 61 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 28 | 28 | $2K |
| 90656 | 127 | 127 | $2K | |
| 0002A | 12 | 12 | $470.80 | |
| 90677 | 13 | 13 | $242.39 | |
| 96127 | 27 | 24 | $99.95 | |
| 90670 | 27 | 27 | $93.62 | |
| 90685 | 25 | 24 | $79.44 | |
| 90651 | 19 | 19 | $62.47 | |
| 90698 | 12 | 12 | $41.76 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 15 | 13 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 20 | 17 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 28 | 28 | $0.00 |
| 91307 | 19 | 14 | $0.00 | |
| 91300 | 51 | 46 | $0.00 |