NPI: 1669104196 · HARRIMAN, TN 37748 · Pediatric Nurse Practitioner · NPI assigned 06/24/2022
Authorized official ROSENDAHL, ANDREW controls 20+ related entities in our dataset. Read more
| Authorized Official | ROSENDAHL, ANDREW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC. |
| NPI Enumeration Date | 06/24/2022 |
Other providers sharing the same authorized official: ROSENDAHL, ANDREW
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 212 | $13K |
| 2023 | 1,094 | $53K |
| 2024 | 1,361 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,250 | 997 | $93K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 305 | 267 | $13K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 86 | 75 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 71 | 51 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 117 | 106 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17 | 15 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 12 | $2K |
| 92551 | 146 | 115 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 15 | 15 | $740.45 |
| 99173 | 75 | 57 | $182.87 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 17 | 12 | $166.21 |
| 3008F | 501 | 434 | $0.00 | |
| 90723 | 13 | 12 | $0.00 | |
| 90661 | 27 | 25 | $0.00 | |
| 90670 | 14 | 13 | $0.00 |