NPI: 1518974732 · SMITHVILLE, TN 37166 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,505 | $158K |
| 2019 | 7,286 | $122K |
| 2020 | 5,307 | $98K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,122 | 4,092 | $249K | |
| 99213 | 4,640 | 3,912 | $91K | |
| 96372 | 1,163 | 998 | $13K | |
| 1160F | 691 | 567 | $3K | |
| J1030 | Methylprednisolone 40 mg inj | 861 | 762 | $3K |
| 3008F | 730 | 595 | $3K | |
| 1159F | 559 | 468 | $3K | |
| 3074F | 429 | 345 | $2K | |
| 90756 | 194 | 149 | $1K | |
| 3078F | 380 | 300 | $1K | |
| 36415 | 2,074 | 1,797 | $1K | |
| 1125F | 146 | 110 | $1K | |
| 99442 | 80 | 64 | $1K | |
| 90471 | 125 | 103 | $934.41 | |
| 1170F | 116 | 81 | $770.00 | |
| 83036 | 605 | 545 | $642.23 | |
| 3079F | 136 | 118 | $600.00 | |
| 90674 | 87 | 81 | $460.78 | |
| 71045 | 69 | 57 | $411.85 | |
| 87804 | 90 | 41 | $380.66 | |
| J0696 | Ceftriaxone sodium injection | 266 | 229 | $374.85 |
| 3075F | 75 | 67 | $300.00 | |
| 80053 | 148 | 114 | $221.26 | |
| 99497 | 21 | 17 | $218.49 | |
| 80061 | 80 | 59 | $168.30 | |
| 3077F | 26 | 18 | $160.00 | |
| 3080F | 18 | 12 | $120.00 | |
| J0702 | Betamethasone acet&sod phosp | 23 | 19 | $89.27 |
| J1100 | Dexamethasone sodium phos | 895 | 785 | $52.40 |
| 3044F | 29 | 26 | $40.00 | |
| G0008 | Admin influenza virus vac | 150 | 132 | $16.03 |
| 3048F | 51 | 43 | $0.00 | |
| 4274F | 19 | 15 | $0.00 |