NPI: 1659402006 · BOLIVAR, TN 38008 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,402 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 940 | 902 | $21K | |
| 99214 | 239 | 229 | $5K | |
| 93925 | 24 | 12 | $1K | |
| 96372 | 47 | 45 | $369.70 | |
| 94664 | 17 | 14 | $107.52 | |
| J1030 | Methylprednisolone 40 mg inj | 18 | 17 | $68.97 |
| 82962 | 48 | 45 | $40.78 | |
| A4620 | Variable concentration mask | 18 | 15 | $3.68 |
| J1100 | Dexamethasone sodium phos | 14 | 13 | $0.80 |
| A4616 | Tubing (oxygen) per foot | 19 | 16 | $0.47 |
| J7613 | Albuterol non-comp unit | 18 | 15 | $0.44 |