NPI: 1013283852 · GRAND RAPIDS, MI 49503 · Optometrist · NPI assigned 03/27/2012
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES, INC |
| NPI Enumeration Date | 03/27/2012 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,358 | $190K |
| 2019 | 3,093 | $122K |
| 2020 | 1,274 | $48K |
| 2021 | 1,799 | $66K |
| 2022 | 2,313 | $85K |
| 2023 | 1,279 | $62K |
| 2024 | 1,343 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 | 4,494 | 4,264 | $324K |
| 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 | 3,927 | 3,499 | $271K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 4,210 | 3,975 | $22K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3,282 | 2,952 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 262 | 210 | $480.04 |
| 92015 | Determination of refractive state | 272 | 269 | $447.80 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $0.00 |