NPI: 1184015539 · CEDAR SPRINGS, MI 49319 · Community Health Clinic/Center · NPI assigned 02/06/2015
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 02/06/2015 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,218 | $51K |
| 2019 | 1,890 | $74K |
| 2020 | 384 | $15K |
| 2021 | 308 | $21K |
| 2022 | 336 | $19K |
| 2023 | 390 | $22K |
| 2024 | 212 | $13K |
| 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 | 1,600 | 905 | $118K |
| 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 | 1,160 | 1,019 | $82K |
| 90834 | Psychotherapy, 45 minutes with patient | 434 | 305 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 614 | 552 | $2K |
| 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 | 28 | 28 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12 | 12 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12 | 12 | $1K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 109 | 105 | $969.52 |
| D1110 | Prophylaxis - adult | 12 | 12 | $489.60 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $252.00 |
| 96127 | 332 | 317 | $199.88 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 210 | 116 | $178.96 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 104 | 101 | $133.00 |
| 90686 | 54 | 54 | $38.06 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 12 | $14.00 |
| 99173 | 18 | 18 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 12 | 12 | $0.00 |