STATE OF TENNESSEE
NPI: 1205988144
· WHITE BLUFF, TN 37187
· Public Health or Welfare Agency
· NPI assigned 01/18/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official HALEY, ANNETTE controls 16+ related entities in our dataset. Read more
Provider Details
| Authorized Official | HALEY, ANNETTE (REGIONAL DIRECTOR) |
| NPI Enumeration Date | 01/18/2007 |
Related Entities
Other providers sharing the same authorized official: HALEY, ANNETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
306 |
$9K |
| 2019 |
304 |
$11K |
| 2020 |
246 |
$5K |
| 2021 |
20 |
$476.85 |
| 2022 |
53 |
$2K |
| 2023 |
54 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
436 |
392 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211 |
189 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$949.81 |
| 90688 |
|
103 |
101 |
$160.00 |
| 96127 |
|
38 |
32 |
$150.58 |
| 90715 |
|
16 |
16 |
$37.61 |
| 90461 |
|
132 |
116 |
$0.00 |
| 90648 |
|
17 |
15 |
$0.00 |
| 90670 |
|
17 |
15 |
$0.00 |