NPI: 1295819175 · TULLAHOMA, TN 37388 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,687 | $100K |
| 2019 | 3,765 | $131K |
| 2020 | 1,163 | $39K |
| 2021 | 19 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,912 | 3,713 | $232K | |
| 99213 | 761 | 669 | $25K | |
| 87880 | 426 | 385 | $4K | |
| 96372 | 330 | 238 | $3K | |
| 87804 | 285 | 129 | $2K | |
| 99204 | 13 | 12 | $1K | |
| 81002 | 588 | 461 | $1K | |
| 3008F | 109 | 62 | $512.84 | |
| 90471 | 75 | 56 | $414.07 | |
| 90756 | 53 | 36 | $398.22 | |
| 90674 | 39 | 29 | $384.06 | |
| J3301 | Triamcinolone acet inj nos | 16 | 14 | $23.58 |
| J1100 | Dexamethasone sodium phos | 15 | 14 | $1.86 |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |