NPI: 1396923199 · SMITHVILLE, TN 37166 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,398 | $48K |
| 2019 | 2,556 | $45K |
| 2020 | 1,712 | $32K |
| 2021 | 2,239 | $41K |
| 2022 | 1,834 | $32K |
| 2023 | 1,920 | $30K |
| 2024 | 1,214 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,614 | 4,372 | $177K | |
| 96372 | 3,032 | 2,003 | $35K | |
| 99214 | 414 | 381 | $14K | |
| 87635 | 240 | 202 | $10K | |
| 87804 | 813 | 363 | $9K | |
| 99212 | 96 | 79 | $2K | |
| J0696 | Ceftriaxone sodium injection | 840 | 707 | $1K |
| G0008 | Admin influenza virus vac | 139 | 127 | $1K |
| 87880 | 160 | 150 | $968.17 | |
| 87811 | 23 | 23 | $748.74 | |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | 71 | 69 | $729.92 |
| 36415 | 620 | 551 | $527.29 | |
| J3420 | Vitamin b12 injection | 346 | 265 | $357.32 |
| 90686 | 24 | 19 | $230.60 | |
| J1100 | Dexamethasone sodium phos | 1,441 | 1,183 | $182.12 |