NPI: 1255341509 · JOHNSON CITY, TN 37604 · Nursing Facility/Intermediate Care Facility · NPI assigned 08/09/2006
Authorized official KILGORE, CARL controls 20+ related entities in our dataset. Read more
| Authorized Official | KILGORE, CARL (PRESIDENT) |
| NPI Enumeration Date | 08/09/2006 |
Other providers sharing the same authorized official: KILGORE, CARL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,914 | $52K |
| 2019 | 1,876 | $54K |
| 2020 | 1,717 | $45K |
| 2021 | 2,758 | $68K |
| 2022 | 8,305 | $142K |
| 2023 | 12,735 | $365K |
| 2024 | 287 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9,349 | 7,327 | $335K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,636 | 4,182 | $171K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 751 | 553 | $87K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 563 | 359 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 495 | 387 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 350 | 273 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 828 | 696 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 172 | 116 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,023 | 787 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 257 | 225 | $8K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 254 | 184 | $6K |
| 99442 | 279 | 249 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 392 | 143 | $3K |
| 99383 | 78 | 52 | $2K | |
| 99406 | 310 | 219 | $1K | |
| 87807 | 138 | 102 | $1K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 44 | 34 | $911.62 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 364 | 226 | $839.97 |
| 99384 | 47 | 30 | $750.73 | |
| 90686 | 85 | 71 | $701.55 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 144 | 95 | $629.93 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 78 | 60 | $358.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14 | 12 | $346.15 |
| 83655 | 21 | 20 | $256.54 | |
| 90674 | 20 | 15 | $129.12 | |
| 90461 | 578 | 485 | $97.98 | |
| 99382 | 25 | 15 | $91.61 | |
| 96127 | 17 | 13 | $72.62 | |
| 3078F | 2,964 | 2,160 | $70.42 | |
| 36415 | Collection of venous blood by venipuncture | 29 | 24 | $60.30 |
| 3077F | 122 | 81 | $50.00 | |
| 90633 | 105 | 87 | $40.69 | |
| 3074F | 2,745 | 2,000 | $30.12 | |
| 3075F | 123 | 103 | $20.00 | |
| 99173 | 23 | 16 | $8.31 | |
| G0008 | Administration of influenza virus vaccine | 20 | 16 | $3.13 |
| 4010F | 377 | 275 | $0.00 | |
| 90647 | 169 | 153 | $0.00 | |
| 3079F | 60 | 52 | $0.00 | |
| 90723 | 166 | 146 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 12 | $0.00 |
| 3080F | 23 | 19 | $0.00 | |
| 90651 | 23 | 17 | $0.00 | |
| 90696 | 26 | 19 | $0.00 | |
| 90670 | 237 | 210 | $0.00 | |
| 90710 | 26 | 19 | $0.00 | |
| 90734 | 22 | 12 | $0.00 |