NPI: 1194348383 · TAZEWELL, TN 37879 · Pediatrics Physician · NPI assigned 05/21/2020
Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
| Authorized Official | ROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC. |
| NPI Enumeration Date | 05/21/2020 |
Other providers sharing the same authorized official: ROSENDAHL, ANDREW
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 603 | $29K |
| 2022 | 1,640 | $70K |
| 2023 | 1,482 | $67K |
| 2024 | 2,405 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,148 | 1,758 | $164K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 655 | 593 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 263 | 221 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 150 | 140 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,016 | 926 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 157 | 148 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 138 | 123 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 201 | 177 | $3K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17 | 17 | $2K |
| 99177 | 396 | 349 | $2K | |
| 92551 | 115 | 93 | $1K | |
| 96161 | 175 | 134 | $620.64 | |
| 96127 | 47 | 43 | $306.59 | |
| 87807 | 16 | 13 | $95.36 | |
| 36415 | Collection of venous blood by venipuncture | 12 | 12 | $16.20 |
| 3008F | 433 | 392 | $0.00 | |
| 90686 | 52 | 49 | $0.00 | |
| 90723 | 27 | 25 | $0.00 | |
| 90647 | 19 | 18 | $0.00 | |
| 90671 | 29 | 26 | $0.00 | |
| 90670 | 52 | 48 | $0.00 | |
| 90633 | 12 | 12 | $0.00 |