NPI: 1548766025 · MANCHESTER, TN 37355 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 74 | $3K |
| 2021 | 2,396 | $70K |
| 2022 | 2,612 | $70K |
| 2023 | 2,926 | $85K |
| 2024 | 2,116 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,692 | 3,877 | $187K | |
| 99213 | 2,992 | 2,512 | $92K | |
| 96372 | 1,650 | 1,170 | $15K | |
| 99215 | Prolong outpt/office vis | 68 | 60 | $2K |
| 99204 | 15 | 12 | $448.06 | |
| 90756 | 35 | 33 | $408.11 | |
| G0008 | Admin influenza virus vac | 35 | 33 | $151.03 |
| J1100 | Dexamethasone sodium phos | 535 | 467 | $72.97 |
| 36415 | 43 | 39 | $54.67 | |
| 81002 | 16 | 14 | $28.54 | |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $5.20 |
| J0696 | Ceftriaxone sodium injection | 15 | 13 | $4.65 |
| 96160 | 16 | 15 | $2.26 |