NPI: 1447760517 · HASTINGS, MI 49058 · Clinical Social Worker · NPI assigned 10/03/2017
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | CHERRY STREET SERVICES, INC. |
| NPI Enumeration Date | 10/03/2017 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,403 | $204K |
| 2019 | 12,036 | $343K |
| 2020 | 11,688 | $329K |
| 2021 | 11,854 | $365K |
| 2022 | 11,398 | $352K |
| 2023 | 8,919 | $319K |
| 2024 | 7,994 | $289K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 16,075 | 13,713 | $1.09M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 3,502 | 2,034 | $239K |
| D0140 | Limited oral evaluation - problem focused | 1,655 | 1,618 | $161K |
| D7140 | Extraction, erupted tooth or exposed root | 1,648 | 865 | $123K |
| D0120 | Periodic oral evaluation - established patient | 1,430 | 1,428 | $92K |
| D1110 | Prophylaxis - adult | 1,054 | 1,049 | $88K |
| D0150 | Comprehensive oral evaluation - new or established patient | 880 | 876 | $74K |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 772 | 765 | $63K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8,247 | 7,433 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 276 | 247 | $41K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,300 | 4,922 | $40K |
| D1120 | Prophylaxis - child | 439 | 439 | $19K |
| D1206 | Topical application of fluoride varnish | 639 | 639 | $17K |
| 90834 | Psychotherapy, 45 minutes with patient | 1,992 | 1,276 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 136 | 97 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 383 | 378 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1,547 | 1,516 | $14K |
| D0274 | Bitewings - four radiographic images | 576 | 573 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 32 | 28 | $5K |
| 90832 | Psychotherapy, 30 minutes with patient | 542 | 420 | $4K |
| 96127 | 11,105 | 9,335 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,054 | 2,023 | $2K |
| 99215 | Prolong outpt/office vis | 265 | 254 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 115 | 114 | $2K |
| D4355 | 12 | 12 | $1K | |
| 90686 | 972 | 965 | $1K | |
| 0124A | 58 | 58 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,350 | 1,332 | $1K |
| 90632 | 286 | 282 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 503 | 498 | $873.21 |
| 0054A | 24 | 24 | $791.14 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 531 | 454 | $692.38 |
| 0012A | 17 | 17 | $598.97 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 65 | 65 | $581.40 |
| 82962 | 1,918 | 1,719 | $560.67 | |
| 90656 | 53 | 53 | $469.35 | |
| 0004A | 17 | 17 | $378.50 | |
| 90707 | 104 | 104 | $265.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 148 | 134 | $257.49 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 53 | 52 | $181.26 |
| 81002 | 498 | 474 | $175.84 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 56 | 56 | $168.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 29 | 29 | $162.68 |
| 90732 | 16 | 16 | $99.00 | |
| 90746 | 12 | 12 | $63.30 | |
| 96160 | 209 | 202 | $2.78 | |
| 36415 | Collection of venous blood by venipuncture | 25 | 25 | $2.70 |
| 94760 | 737 | 699 | $0.00 | |
| 3079F | 226 | 216 | $0.00 | |
| 3074F | 156 | 149 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1,479 | 1,255 | $0.00 |
| 3080F | 105 | 97 | $0.00 | |
| 3044F | 219 | 215 | $0.00 | |
| 91305 | 25 | 25 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18 | 12 | $0.00 |
| 91301 | 21 | 21 | $0.00 | |
| 3077F | 401 | 371 | $0.00 | |
| 3045F | 13 | 12 | $0.00 | |
| 91300 | 58 | 57 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0.00 |
| 91312 | 53 | 53 | $0.00 | |
| 3078F | 136 | 130 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 13 | 12 | $0.00 |