NPI: 1609555218 · GRAND RAPIDS, MI 49548 · Counselor · NPI assigned 07/12/2023
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES, INC |
| NPI Enumeration Date | 07/12/2023 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 341 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 49 | 43 | $2K |
| 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 | 67 | 67 | $2K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $346.10 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26 | 26 | $223.88 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 23 | 23 | $92.44 |
| 96127 | 110 | 110 | $60.33 | |
| 99173 | 54 | 54 | $0.00 |