NPI: 1346222593 · BOLIVAR, TN 38008 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,157 | $49K |
| 2019 | 9,059 | $77K |
| 2020 | 1,852 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,611 | 1,400 | $69K | |
| 99213 | 1,438 | 1,233 | $44K | |
| 96372 | 443 | 353 | $5K | |
| 99215 | Prolong outpt/office vis | 98 | 87 | $5K |
| 1111F | 1,729 | 1,484 | $3K | |
| 3008F | 3,108 | 2,623 | $2K | |
| 99212 | 78 | 75 | $1K | |
| 3078F | 1,711 | 1,503 | $1K | |
| 3074F | 1,797 | 1,579 | $1K | |
| 90688 | 151 | 143 | $1K | |
| 90471 | 162 | 153 | $1K | |
| 90460 | 53 | 51 | $1K | |
| 3044F | 1,233 | 996 | $780.00 | |
| 3079F | 599 | 540 | $630.00 | |
| 3046F | 324 | 256 | $620.00 | |
| 87804 | 78 | 40 | $599.95 | |
| 83036 | 335 | 318 | $592.61 | |
| 3077F | 477 | 404 | $505.00 | |
| 87880 | 76 | 69 | $432.57 | |
| 82962 | 328 | 305 | $416.19 | |
| 3080F | 285 | 244 | $320.00 | |
| 81002 | 192 | 180 | $307.93 | |
| 90686 | 58 | 57 | $267.63 | |
| 36415 | 146 | 132 | $146.94 | |
| 3075F | 196 | 180 | $140.00 | |
| J1030 | Methylprednisolone 40 mg inj | 30 | 27 | $119.44 |
| 90472 | 22 | 21 | $111.45 | |
| 81025 | 13 | 13 | $47.22 | |
| J1885 | Ketorolac tromethamine inj | 31 | 26 | $6.40 |
| J1100 | Dexamethasone sodium phos | 30 | 25 | $6.39 |
| 99000 | 1,236 | 1,038 | $2.16 |