NPI: 1558459164 · GRAND RAPIDS, MI 49503 · Group Psychotherapy Psychologist · NPI assigned 10/10/2006
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 10/10/2006 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 446,937 | $9.44M |
| 2019 | 521,465 | $9.78M |
| 2020 | 434,014 | $7.47M |
| 2021 | 381,895 | $6.68M |
| 2022 | 243,904 | $5.78M |
| 2023 | 204,285 | $7.01M |
| 2024 | 154,972 | $4.63M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1,784,667 | 64,917 | $17.70M |
| T1017 | Targeted case management, each 15 minutes | 23,517 | 16,177 | $4.21M |
| 90832 | Psychotherapy, 30 minutes with patient | 58,327 | 44,308 | $4.15M |
| 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 | 56,101 | 49,320 | $3.61M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 57,906 | 18,935 | $2.74M |
| 90834 | Psychotherapy, 45 minutes with patient | 23,758 | 19,204 | $2.12M |
| H2030 | Mental health clubhouse services, per 15 minutes | 61,056 | 6,386 | $1.94M |
| 99402 | 20,629 | 17,828 | $1.62M | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 28,781 | 28,218 | $1.59M |
| 90837 | Psychotherapy, 53 minutes with patient | 13,435 | 10,166 | $1.54M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5,343 | 2,835 | $1.08M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25,280 | 23,257 | $726K |
| 59426 | 579 | 533 | $721K | |
| 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 | 14,290 | 9,150 | $620K |
| H0038 | Self-help/peer services, per 15 minutes | 3,783 | 1,876 | $579K |
| D0140 | Limited oral evaluation - problem focused | 5,250 | 5,120 | $474K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6,312 | 5,573 | $425K |
| D1110 | Prophylaxis - adult | 4,875 | 4,868 | $409K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18,211 | 16,987 | $382K |
| D7140 | Extraction, erupted tooth or exposed root | 5,485 | 3,137 | $379K |
| D0120 | Periodic oral evaluation - established patient | 6,090 | 6,082 | $352K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,251 | 1,924 | $294K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,125 | 1,673 | $224K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,692 | 2,683 | $202K |
| 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 | 2,989 | 2,946 | $193K |
| H1000 | Prenatal care, at-risk assessment | 2,203 | 2,186 | $185K |
| H0001 | Alcohol and/or drug assessment | 1,507 | 1,505 | $170K |
| D1120 | Prophylaxis - child | 3,507 | 3,505 | $140K |
| H0006 | Alcohol and/or drug services; case management | 1,061 | 313 | $118K |
| D1206 | Topical application of fluoride varnish | 4,683 | 4,682 | $114K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3,002 | 1,397 | $108K |
| D0210 | Intraoral - complete series of radiographic images | 2,753 | 2,412 | $96K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 555 | 555 | $92K |
| H2000 | Comprehensive multidisciplinary evaluation | 881 | 869 | $89K |
| H0049 | Alcohol and/or drug screening | 1,755 | 987 | $88K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2,122 | 2,122 | $81K |
| D0274 | Bitewings - four radiographic images | 3,230 | 3,222 | $76K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,004 | 997 | $75K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1,079 | 1,041 | $66K |
| T1012 | Alcohol and/or substance abuse services, skills development | 246 | 122 | $58K |
| D1351 | Sealant - per tooth | 2,083 | 595 | $58K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 502 | 108 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 5,416 | 5,289 | $49K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,979 | 1,963 | $47K |
| V2020 | Frames, purchases | 2,357 | 2,336 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,136 | 3,078 | $41K |
| D0272 | Bitewings - two radiographic images | 1,798 | 1,793 | $40K |
| D4355 | 253 | 253 | $34K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 776 | 776 | $34K |
| D0330 | Panoramic radiographic image | 1,032 | 1,028 | $32K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 242 | 218 | $32K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 485 | 483 | $31K |
| 99215 | Prolong outpt/office vis | 212 | 211 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,515 | 2,445 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 405 | 392 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,642 | 1,604 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,600 | 1,556 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,901 | 1,855 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5,503 | 5,365 | $20K |
| D0240 | 972 | 502 | $20K | |
| D2331 | 168 | 135 | $19K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10,333 | 10,047 | $18K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 156 | 123 | $15K |
| 90651 | 798 | 776 | $15K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2,398 | 2,366 | $14K |
| D4910 | 180 | 180 | $14K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 14 | 12 | $11K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 388 | 385 | $11K |
| 59425 | 14 | 14 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 272 | 271 | $10K |
| G9007 | Coordinated care fee, scheduled team conference | 660 | 611 | $9K |
| G9002 | Coordinated care fee, maintenance rate | 585 | 511 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 236 | 236 | $7K |
| 96127 | 12,648 | 11,295 | $7K | |
| D2330 | 65 | 51 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,048 | 422 | $6K |
| 90686 | 6,282 | 6,158 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 551 | 536 | $6K |
| D1354 | 275 | 128 | $5K | |
| 90632 | 546 | 533 | $5K | |
| 90746 | 512 | 504 | $5K | |
| 90715 | 988 | 968 | $4K | |
| 90620 | 432 | 420 | $4K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 209 | 209 | $4K |
| 59430 | 160 | 145 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,991 | 1,490 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1,119 | 1,073 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2,430 | 2,387 | $3K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1,223 | 1,164 | $3K |
| H2011 | Crisis intervention service, per 15 minutes | 42 | 36 | $3K |
| D0270 | 386 | 385 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | 298 | 293 | $3K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 61 | 48 | $3K |
| 90707 | 545 | 534 | $3K | |
| 81025 | 2,315 | 2,160 | $3K | |
| 0001A | 99 | 99 | $2K | |
| 0124A | 151 | 151 | $2K | |
| 0004A | 82 | 82 | $2K | |
| 0054A | 65 | 65 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 623 | 508 | $2K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 140 | 138 | $1K |
| 99381 | 160 | 158 | $1K | |
| 90714 | 286 | 281 | $1K | |
| 99442 | 101 | 82 | $1K | |
| 90670 | 1,936 | 1,900 | $929.49 | |
| 82962 | 1,793 | 1,593 | $797.84 | |
| 81002 | 2,065 | 1,872 | $784.74 | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 52 | 27 | $601.32 |
| 98966 | 851 | 574 | $567.50 | |
| 90473 | 736 | 717 | $456.32 | |
| 0071A | 13 | 13 | $454.20 | |
| 90716 | 285 | 272 | $408.78 | |
| 99242 | 64 | 64 | $399.36 | |
| 85018 | 805 | 758 | $342.12 | |
| 0051A | 14 | 14 | $337.77 | |
| 90656 | 84 | 83 | $290.55 | |
| 92551 | 162 | 161 | $241.82 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 218 | 213 | $217.33 |
| 90734 | 529 | 515 | $128.85 | |
| 98967 | 31 | 24 | $72.04 | |
| 90688 | 114 | 109 | $53.52 | |
| 87428 | 18 | 18 | $51.24 | |
| 93000 | 49 | 43 | $47.55 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 29 | 29 | $34.26 |
| 36415 | Collection of venous blood by venipuncture | 92 | 92 | $32.40 |
| 82043 | 39 | 39 | $28.68 | |
| 99177 | 29 | 29 | $16.00 | |
| 90474 | 14 | 12 | $15.00 | |
| 96160 | 18 | 18 | $5.74 | |
| 90700 | 1,141 | 1,110 | $0.00 | |
| 3077F | 1,395 | 1,311 | $0.00 | |
| 90633 | 807 | 788 | $0.00 | |
| 90681 | 709 | 692 | $0.00 | |
| 90713 | 559 | 543 | $0.00 | |
| 3078F | 1,253 | 1,233 | $0.00 | |
| 90710 | 53 | 52 | $0.00 | |
| 3045F | 38 | 38 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 164 | 163 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 958 | 881 | $0.00 |
| 91300 | 218 | 213 | $0.00 | |
| 99173 | 78 | 78 | $0.00 | |
| 91312 | 149 | 149 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 43 | 43 | $0.00 |
| 97803 | 32 | 30 | $0.00 | |
| 3051F | 12 | 12 | $0.00 | |
| 90723 | 830 | 819 | $0.00 | |
| 3079F | 1,800 | 1,744 | $0.00 | |
| 3074F | 1,816 | 1,781 | $0.00 | |
| 90647 | 1,440 | 1,408 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 8,147 | 5,700 | $0.00 |
| 3075F | 832 | 814 | $0.00 | |
| 3044F | 1,058 | 1,044 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2,229 | 2,104 | $0.00 |
| 3080F | 1,030 | 970 | $0.00 | |
| 91307 | 28 | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 165 | 165 | $0.00 |
| 90677 | 97 | 96 | $0.00 | |
| 91305 | 124 | 122 | $0.00 | |
| 90696 | 25 | 25 | $0.00 | |
| 90680 | 38 | 38 | $0.00 |