NPI: 1043519705 · JACKSON, TN 38305 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,753 | $66K |
| 2019 | 2,757 | $56K |
| 2020 | 1,073 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,225 | 2,752 | $101K | |
| 99214 | 961 | 749 | $35K | |
| 96372 | 487 | 392 | $5K | |
| 87804 | 351 | 154 | $3K | |
| 87880 | 237 | 212 | $2K | |
| 90756 | 61 | 50 | $1K | |
| G2025 | Dis site tele svcs rhc/fqhc | 14 | 13 | $899.00 |
| 99203 | 12 | 12 | $625.87 | |
| 90471 | 46 | 37 | $413.82 | |
| 96160 | 13 | 13 | $235.22 | |
| 96127 | 35 | 33 | $202.66 | |
| 3079F | 267 | 233 | $90.60 | |
| 3078F | 284 | 256 | $70.00 | |
| 3074F | 348 | 313 | $70.00 | |
| 99173 | 16 | 16 | $63.54 | |
| 3075F | 75 | 64 | $50.60 | |
| 3077F | 230 | 203 | $40.00 | |
| J0696 | Ceftriaxone sodium injection | 17 | 12 | $30.68 |
| J1200 | Diphenhydramine hcl injectio | 16 | 12 | $9.88 |
| J1100 | Dexamethasone sodium phos | 19 | 14 | $8.08 |
| 1159F | 389 | 332 | $0.00 | |
| 1160F | 387 | 330 | $0.00 | |
| 3080F | 93 | 82 | $0.00 |