NPI: 1184974263 · WYOMING, MI 49509 · Social Worker · NPI assigned 09/14/2012
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES |
| NPI Enumeration Date | 09/14/2012 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,762 | $843K |
| 2019 | 24,843 | $971K |
| 2020 | 21,630 | $729K |
| 2021 | 25,190 | $890K |
| 2022 | 23,731 | $881K |
| 2023 | 21,865 | $795K |
| 2024 | 14,917 | $649K |
| 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 | 28,647 | 25,261 | $1.77M |
| D0120 | Periodic oral evaluation - established patient | 8,361 | 8,358 | $448K |
| D0140 | Limited oral evaluation - problem focused | 5,090 | 5,009 | $440K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,462 | 2,848 | $433K |
| D1110 | Prophylaxis - adult | 5,835 | 5,830 | $418K |
| D7140 | Extraction, erupted tooth or exposed root | 5,636 | 3,210 | $396K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3,084 | 2,415 | $301K |
| 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 | 2,717 | 2,631 | $208K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,622 | 2,620 | $202K |
| D1120 | Prophylaxis - child | 3,407 | 3,406 | $138K |
| D1206 | Topical application of fluoride varnish | 4,777 | 4,774 | $116K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 703 | 663 | $103K |
| 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 | 1,751 | 1,076 | $101K |
| D0210 | Intraoral - complete series of radiographic images | 2,286 | 2,273 | $90K |
| D0274 | Bitewings - four radiographic images | 3,837 | 3,835 | $87K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13,719 | 12,384 | $68K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,226 | 6,881 | $54K |
| D1351 | Sealant - per tooth | 1,829 | 498 | $53K |
| D2331 | 478 | 362 | $51K | |
| D0220 | Intraoral - periapical first radiographic image | 4,786 | 4,716 | $36K |
| D4355 | 265 | 264 | $32K | |
| D0272 | Bitewings - two radiographic images | 1,275 | 1,274 | $27K |
| D2330 | 239 | 174 | $23K | |
| D0330 | Panoramic radiographic image | 457 | 456 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 973 | 936 | $12K |
| D4910 | 127 | 127 | $10K | |
| 90834 | Psychotherapy, 45 minutes with patient | 711 | 463 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 787 | 755 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4,847 | 4,690 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2,168 | 2,098 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 591 | 575 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,592 | 1,417 | $6K |
| D2335 | 45 | 39 | $6K | |
| D0240 | 260 | 134 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 614 | 576 | $5K |
| 90686 | 3,134 | 3,045 | $5K | |
| 0124A | 253 | 251 | $4K | |
| 96127 | 7,912 | 7,119 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 349 | 336 | $4K |
| 90651 | 169 | 162 | $3K | |
| D2332 | 32 | 25 | $3K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 566 | 529 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 27 | 24 | $3K |
| 90715 | 506 | 504 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,267 | 1,219 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 507 | 484 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 17 | 15 | $2K |
| 92015 | Determination of refractive state | 1,102 | 1,065 | $2K |
| 0054A | 66 | 65 | $2K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 270 | 247 | $1K |
| 0004A | 49 | 49 | $1K | |
| 0001A | 43 | 43 | $1K | |
| 90746 | 194 | 191 | $1K | |
| 91320 | 18 | 18 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | 39 | 39 | $1K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 255 | 250 | $1K |
| 0002A | 33 | 33 | $1K | |
| 90480 | 41 | 41 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 235 | 233 | $1K |
| D0270 | 194 | 193 | $995.53 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 103 | 100 | $921.62 |
| 90832 | Psychotherapy, 30 minutes with patient | 73 | 54 | $700.23 |
| 0053A | 31 | 31 | $675.54 | |
| 90791 | Psychiatric diagnostic evaluation | 20 | 20 | $593.33 |
| 90716 | 30 | 29 | $545.04 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 96 | 93 | $542.23 |
| 90656 | 96 | 96 | $469.35 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 167 | 124 | $440.22 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 69 | 69 | $386.48 |
| 90707 | 28 | 28 | $385.75 | |
| 0051A | 12 | 12 | $375.62 | |
| 90632 | 76 | 76 | $350.57 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 58 | 50 | $309.58 |
| G9007 | Coordinated care fee, scheduled team conference | 26 | 25 | $288.17 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 12 | 12 | $252.56 |
| 90837 | Psychotherapy, 53 minutes with patient | 44 | 37 | $225.84 |
| 81025 | 192 | 184 | $221.03 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 72 | 72 | $195.10 |
| 0121A | 29 | 29 | $159.92 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 66 | 65 | $136.26 |
| 98966 | 58 | 55 | $134.29 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 154 | 140 | $134.22 |
| 82962 | 181 | 177 | $132.04 | |
| 81002 | 192 | 176 | $84.72 | |
| 90688 | 32 | 28 | $71.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 34 | 34 | $54.76 |
| 85018 | 128 | 120 | $42.49 | |
| 92341 | 18 | 14 | $22.98 | |
| D0230 | Intraoral - periapical each additional radiographic image | 15 | 12 | $21.60 |
| 3078F | 1,037 | 993 | $0.00 | |
| 3077F | 1,092 | 1,024 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 164 | 157 | $0.00 |
| 91312 | 295 | 293 | $0.00 | |
| 90734 | 124 | 121 | $0.00 | |
| 91300 | 176 | 166 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 70 | 67 | $0.00 |
| 90670 | 67 | 65 | $0.00 | |
| 3079F | 1,006 | 960 | $0.00 | |
| 3075F | 283 | 272 | $0.00 | |
| 3074F | 1,038 | 995 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1,778 | 1,585 | $0.00 |
| 3080F | 405 | 380 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 67 | 66 | $0.00 |
| 90677 | 16 | 16 | $0.00 | |
| 90647 | 39 | 39 | $0.00 | |
| 94760 | 284 | 266 | $0.00 | |
| 3044F | 167 | 167 | $0.00 | |
| 91305 | 203 | 203 | $0.00 | |
| 90620 | 14 | 14 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19 | 15 | $0.00 |