NPI: 1457557134 · CLINTON, TN 37716 · Pediatric Nurse Practitioner · NPI assigned 06/21/2007
Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
| Authorized Official | ROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC. |
| NPI Enumeration Date | 06/21/2007 |
Other providers sharing the same authorized official: ROSENDAHL, ANDREW
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 768 | $27K |
| 2019 | 128 | $8K |
| 2020 | 660 | $29K |
| 2021 | 2,679 | $140K |
| 2022 | 3,724 | $175K |
| 2023 | 2,924 | $155K |
| 2024 | 2,960 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,841 | 6,420 | $525K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,461 | 1,307 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 174 | 143 | $20K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 256 | 235 | $11K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 578 | 524 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 90 | 79 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 185 | 154 | $8K |
| 92551 | 509 | 433 | $6K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 73 | 72 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 40 | 27 | $4K |
| 99173 | 468 | 391 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 97 | 77 | $1K |
| 3008F | 1,708 | 1,486 | $932.92 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 25 | 24 | $363.36 |
| 90670 | 28 | 28 | $257.99 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $220.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 16 | 16 | $211.96 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 26 | 24 | $99.16 |
| 96127 | 13 | 13 | $92.69 | |
| 90647 | 14 | 14 | $17.06 | |
| 36416 | 26 | 24 | $3.66 | |
| 90723 | 14 | 14 | $0.00 | |
| 90686 | 134 | 119 | $0.00 | |
| 90677 | 43 | 38 | $0.00 | |
| 90680 | 12 | 12 | $0.00 |