NPI: 1306579008 · TULLAHOMA, TN 37388 · Family Medicine Physician · NPI assigned 07/08/2022
Authorized official HICKS, STEPHANIE controls 15+ related entities in our dataset. Read more
| Authorized Official | HICKS, STEPHANIE (CONTROLLER) |
| NPI Enumeration Date | 07/08/2022 |
Other providers sharing the same authorized official: HICKS, STEPHANIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| CONVENIENT CARE CLINIC, LLC | HORN LAKE | MS | $2.87M |
| ADVANTAGE FAMILY CARE INC | CULLMAN | AL | $258K |
| CROSSROADS URGENT CARE PLLC | COOKEVILLE | TN | $136K |
| CONVENIENT CARE CLINIC, LLC | BATESVILLE | MS | $129K |
| GOLDEN TRIANGLE URGENT CARE LLC | STARKVILLE | MS | $53K |
| GOLDEN TRIANGLE URGENT CARE LLC | WEST POINT | MS | $35K |
| ADVANTAGE FAMILY CARE, INC. | ATHENS | AL | $33K |
| CROSSROADS URGENT CARE PLLC | SPRINGFIELD | TN | $14K |
| GOLDEN TRIANGLE URGENT CARE LLC | SALTILLO | MS | $8K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | WYNNE | AR | $5K |
| CROSSROADS URGENT CARE PLLC | DAYTON | TN | $4K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | SEARCY | AR | $4K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | BATESVILLE | AR | $3K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | LONOKE | AR | $2K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | HARRISON | AR | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,322 | $36K |
| 2024 | 1,534 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 596 | 557 | $43K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 478 | 431 | $23K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 39 | 39 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 612 | 295 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 506 | 493 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 92 | 92 | $2K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $810.70 |
| 99051 | 509 | 469 | $475.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12 | 12 | $159.06 |