NPI: 1417086547 · JACKSON, TN 38301 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 839 | $23K |
| 2020 | 3,557 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0016 | Alcohol and/or drug services | 570 | 430 | $104K |
| H0033 | Oral med adm direct observe | 494 | 352 | $60K |
| H2010 | Comprehensive med svc 15 min | 361 | 155 | $13K |
| 80305 | 1,678 | 1,052 | $9K | |
| 99484 | 254 | 240 | $7K | |
| H0047 | Alcohol/drug abuse svc nos | 18 | 18 | $5K |
| 99232 | 389 | 149 | $5K | |
| 99214 | 99 | 51 | $2K | |
| 99223 | Prolong inpt eval add15 m | 70 | 58 | $2K |
| 99239 | 69 | 62 | $1K | |
| 99220 | 16 | 13 | $628.73 | |
| 99213 | 129 | 107 | $349.56 | |
| 99233 | Prolong inpt eval add15 m | 40 | 14 | $272.49 |
| 36415 | 161 | 68 | $126.06 | |
| H0049 | Alcohol/drug screening | 18 | 12 | $106.50 |
| G2087 | Off base opioid tx, 60 m | 30 | 27 | $0.00 |