NPI: 1043592629 · GRAND RAPIDS, MI 49505 · Clinical Neuropsychologist · NPI assigned 09/09/2011
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (EXECUTIVE DIRECTOR) |
| Parent Organization | CHERRY STREET SERVICES INC |
| NPI Enumeration Date | 09/09/2011 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,908 | $253K |
| 2019 | 7,260 | $251K |
| 2020 | 6,273 | $208K |
| 2021 | 2,459 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 11,294 | 6,591 | $708K |
| 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 | 788 | 733 | $47K |
| 90834 | Psychotherapy, 45 minutes with patient | 3,690 | 2,446 | $21K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,082 | 748 | $9K |
| 90791 | Psychiatric diagnostic evaluation | 871 | 854 | $5K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,142 | 2,547 | $4K |
| 90832 | Psychotherapy, 30 minutes with patient | 875 | 624 | $3K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 262 | 253 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 174 | 152 | $679.72 |
| 96127 | 516 | 392 | $375.98 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 49 | 34 | $367.26 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15 | 13 | $256.35 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 111 | 81 | $138.31 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 31 | 14 | $45.18 |