NPI: 1265637441 · VONORE, TN 37885 · Pediatric Nurse Practitioner · NPI assigned 06/18/2007
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 | 06/18/2007 |
Other providers sharing the same authorized official: ROSENDAHL, ANDREW
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 834 | $26K |
| 2019 | 31 | $2K |
| 2021 | 15 | $1K |
| 2024 | 28 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 590 | 474 | $22K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 154 | 111 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 64 | 51 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 34 | 32 | $332.60 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 23 | 21 | $242.16 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14 | 14 | $143.50 |
| 87081 | 29 | 28 | $29.76 |