NPI: 1659459394 · TULLAHOMA, TN 37388 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,538 | $74K |
| 2019 | 3,204 | $96K |
| 2020 | 322 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,124 | 1,441 | $98K | |
| 90460 | 573 | 501 | $22K | |
| 99214 | 308 | 234 | $21K | |
| 99393 | 223 | 200 | $15K | |
| 99392 | 94 | 85 | $6K | |
| 87804 | 318 | 266 | $6K | |
| 87880 | 594 | 500 | $6K | |
| 96110 | 367 | 317 | $2K | |
| 96127 | 565 | 495 | $2K | |
| 99394 | 15 | 12 | $1K | |
| 99391 | 18 | 12 | $939.75 | |
| 92587 | 278 | 245 | $838.40 | |
| 99173 | 175 | 155 | $301.08 | |
| 96372 | 20 | 14 | $292.70 | |
| J0696 | Ceftriaxone sodium injection | 18 | 12 | $18.25 |
| 90461 | 164 | 144 | $0.00 | |
| 99211 | 56 | 55 | $0.00 | |
| 90686 | 154 | 136 | $0.00 |