EAST TENNESSEE STATE UNIVERSITY
NPI: 1093990608
· JOHNSON CITY, TN 37604
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/02/2008
Provider Details
| Authorized Official | KING, BETTY (ACTING CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 01/02/2008 |
Related Entities
Other providers sharing the same authorized official: KING, BETTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
249 |
$4K |
| 2019 |
121 |
$3K |
| 2020 |
129 |
$3K |
| 2021 |
313 |
$8K |
| 2022 |
455 |
$15K |
| 2023 |
485 |
$16K |
| 2024 |
61 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
482 |
217 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
869 |
721 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
197 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
37 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
16 |
$1K |
| 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 |
17 |
13 |
$422.60 |
| 99406 |
|
73 |
31 |
$264.18 |
| 3008F |
|
13 |
12 |
$0.00 |