NPI: 1124187471 · GRAND RAPIDS, MI 49506 · Social Worker · NPI assigned 12/06/2006
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 12/06/2006 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,575 | $44K |
| 2019 | 1,126 | $30K |
| 2020 | 89 | $2K |
| 2022 | 331 | $6K |
| 2023 | 847 | $29K |
| 2024 | 1,238 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 1,169 | 1,006 | $77K |
| 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 | 689 | 339 | $51K |
| D1110 | Prophylaxis - adult | 215 | 215 | $10K |
| 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 | 98 | 97 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 852 | 768 | $4K |
| D1206 | Topical application of fluoride varnish | 204 | 204 | $2K |
| D0120 | Periodic oral evaluation - established patient | 30 | 30 | $770.60 |
| 90834 | Psychotherapy, 45 minutes with patient | 334 | 179 | $663.44 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $455.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 18 | 18 | $401.95 |
| 96127 | 840 | 796 | $357.80 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 55 | 54 | $284.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 106 | 104 | $147.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 13 | $60.22 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13 | 13 | $49.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15 | 12 | $22.37 |
| 90620 | 14 | 14 | $0.00 | |
| 90686 | 40 | 40 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 67 | 66 | $0.00 |
| 99173 | 400 | 397 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 20 | 13 | $0.00 |