NPI: 1598290132 · PORTLAND, TN 37148 · Family Medicine Physician · NPI assigned 04/20/2017
Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | LAWRENCE, CHARLOTTE (SECRETARY) |
| NPI Enumeration Date | 04/20/2017 |
Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 813 | $22K |
| 2019 | 546 | $22K |
| 2020 | 940 | $29K |
| 2021 | 2,178 | $80K |
| 2022 | 512 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,600 | 2,032 | $89K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,043 | 1,496 | $82K |
| 1170F | 58 | 35 | $390.00 | |
| 1160F | 57 | 35 | $390.00 | |
| 1158F | 57 | 35 | $390.00 | |
| 1159F | 57 | 35 | $390.00 | |
| 90686 | 28 | 21 | $228.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15 | 13 | $169.27 |
| 1126F | 18 | 13 | $150.00 | |
| 3008F | 56 | 35 | $0.00 |