NPI: 1669530986 · GRAND RAPIDS, MI 49503 · Optometrist · NPI assigned 12/06/2006
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 12/06/2006 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129,248 | $3.48M |
| 2019 | 125,199 | $3.39M |
| 2020 | 110,816 | $2.88M |
| 2021 | 151,345 | $3.97M |
| 2022 | 139,541 | $3.73M |
| 2023 | 138,537 | $3.80M |
| 2024 | 110,285 | $3.27M |
| 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 | 180,498 | 157,621 | $11.84M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 56,348 | 32,793 | $3.59M |
| 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 | 12,107 | 11,861 | $959K |
| D0140 | Limited oral evaluation - problem focused | 9,148 | 8,914 | $826K |
| D7140 | Extraction, erupted tooth or exposed root | 8,988 | 5,349 | $699K |
| D0120 | Periodic oral evaluation - established patient | 13,094 | 13,087 | $688K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4,429 | 3,348 | $447K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,047 | 2,632 | $412K |
| D1110 | Prophylaxis - adult | 4,921 | 4,920 | $387K |
| D1120 | Prophylaxis - child | 9,570 | 9,569 | $379K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60,197 | 54,902 | $312K |
| D1206 | Topical application of fluoride varnish | 12,194 | 12,191 | $299K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 45,914 | 42,468 | $285K |
| D1351 | Sealant - per tooth | 8,343 | 2,436 | $225K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,763 | 2,758 | $224K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 844 | 599 | $163K |
| D0210 | Intraoral - complete series of radiographic images | 2,906 | 2,859 | $132K |
| 90834 | Psychotherapy, 45 minutes with patient | 21,434 | 14,416 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11,544 | 11,499 | $111K |
| D0272 | Bitewings - two radiographic images | 4,694 | 4,689 | $99K |
| D0274 | Bitewings - four radiographic images | 4,472 | 4,466 | $95K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 12,647 | 12,134 | $92K |
| 90837 | Psychotherapy, 53 minutes with patient | 11,208 | 7,314 | $91K |
| D0330 | Panoramic radiographic image | 2,374 | 2,364 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10,676 | 10,650 | $85K |
| D0220 | Intraoral - periapical first radiographic image | 8,682 | 8,473 | $84K |
| D1354 | 4,008 | 1,815 | $77K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4,219 | 3,744 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9,239 | 9,030 | $72K |
| G9002 | Coordinated care fee, maintenance rate | 3,209 | 3,111 | $68K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7,230 | 7,212 | $64K |
| 0001A | 1,779 | 1,777 | $63K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 18,041 | 17,827 | $62K |
| 0002A | 1,621 | 1,618 | $60K | |
| D0240 | 2,833 | 1,520 | $58K | |
| D4355 | 422 | 421 | $56K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6,622 | 6,548 | $52K |
| 90832 | Psychotherapy, 30 minutes with patient | 12,619 | 10,224 | $49K |
| 0071A | 1,363 | 1,360 | $48K | |
| 99000 | 4,129 | 4,013 | $46K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 29,217 | 28,922 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14,355 | 13,547 | $44K |
| D2330 | 436 | 316 | $43K | |
| D2331 | 373 | 289 | $43K | |
| 0072A | 1,133 | 1,132 | $42K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 298 | 256 | $37K |
| G9007 | Coordinated care fee, scheduled team conference | 3,406 | 3,312 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 222 | 208 | $36K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 516 | 500 | $27K |
| 99442 | 1,272 | 1,111 | $27K | |
| 90791 | Psychiatric diagnostic evaluation | 2,279 | 2,218 | $23K |
| D4910 | 247 | 247 | $22K | |
| 0031A | 638 | 638 | $21K | |
| 0004A | 570 | 570 | $21K | |
| 0012A | 597 | 597 | $21K | |
| D0145 | Oral evaluation for a patient under three years of age | 570 | 569 | $21K |
| 0011A | 685 | 685 | $20K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3,253 | 3,127 | $20K |
| 92015 | Determination of refractive state | 13,097 | 12,949 | $20K |
| 90480 | 753 | 753 | $20K | |
| 99381 | 2,258 | 2,253 | $18K | |
| D2140 | 201 | 147 | $18K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9,398 | 7,432 | $17K |
| 0054A | 493 | 493 | $16K | |
| D7111 | 240 | 185 | $16K | |
| 96127 | 26,594 | 24,803 | $16K | |
| 99215 | Prolong outpt/office vis | 1,233 | 1,206 | $12K |
| 0124A | 582 | 582 | $11K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 685 | 675 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1,144 | 1,125 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 842 | 804 | $10K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 910 | 902 | $8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 6,726 | 4,078 | $8K |
| 99382 | 645 | 642 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 3,564 | 2,644 | $7K |
| 0052A | 207 | 207 | $7K | |
| 90686 | 18,103 | 17,987 | $7K | |
| 0081A | 217 | 217 | $7K | |
| 0051A | 197 | 196 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3,990 | 3,900 | $7K |
| 92551 | 8,047 | 8,035 | $6K | |
| 0154A | 254 | 254 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,036 | 549 | $6K |
| 90473 | 6,725 | 6,704 | $6K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 940 | 922 | $6K |
| 99443 | 190 | 173 | $6K | |
| 99383 | 690 | 686 | $5K | |
| 98966 | 2,613 | 2,358 | $5K | |
| 0082A | 134 | 134 | $5K | |
| 99001 | 529 | 500 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3,489 | 3,387 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2,959 | 2,777 | $4K |
| 98960 | 201 | 178 | $4K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1,090 | 878 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 31 | 28 | $4K |
| 92133 | 1,783 | 1,748 | $3K | |
| D9310 | 332 | 301 | $3K | |
| 91320 | 266 | 266 | $3K | |
| D0270 | 448 | 444 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 981 | 935 | $3K |
| D1510 | 13 | 12 | $3K | |
| 87428 | 637 | 627 | $3K | |
| 83655 | 1,753 | 1,749 | $3K | |
| D2335 | 16 | 14 | $2K | |
| 90715 | 2,780 | 2,767 | $2K | |
| G0512 | Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month | 25 | 25 | $2K |
| 98967 | 257 | 230 | $2K | |
| 90670 | 6,545 | 6,534 | $1K | |
| 85018 | 4,501 | 4,488 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 266 | 224 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13 | 13 | $1K |
| 90746 | 165 | 164 | $1K | |
| 92083 | 288 | 279 | $1K | |
| 81025 | 1,122 | 1,075 | $1K | |
| 90656 | 635 | 635 | $1K | |
| 92134 | 453 | 450 | $985.10 | |
| 99177 | 4,522 | 4,517 | $971.39 | |
| 90632 | 84 | 84 | $930.61 | |
| 92552 | 806 | 800 | $906.13 | |
| 90677 | 1,445 | 1,445 | $894.12 | |
| 0173A | 32 | 32 | $879.69 | |
| 81002 | 2,315 | 2,232 | $872.30 | |
| 92341 | 315 | 269 | $849.46 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 272 | 268 | $829.92 |
| 99441 | 91 | 89 | $564.67 | |
| 0073A | 19 | 19 | $525.52 | |
| 71046 | Radiologic examination, chest; 2 views | 121 | 113 | $511.41 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 57 | 57 | $449.45 |
| 0074A | 50 | 50 | $375.30 | |
| 98961 | 31 | 31 | $293.97 | |
| 82962 | 557 | 522 | $289.96 | |
| 0121A | 28 | 28 | $239.88 | |
| 92250 | 39 | 39 | $234.75 | |
| 90714 | 55 | 55 | $163.60 | |
| 85610 | 97 | 51 | $157.28 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 383 | 251 | $120.61 |
| 0171A | 14 | 14 | $119.94 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 65 | 65 | $108.15 |
| 99384 | 26 | 26 | $99.37 | |
| 90688 | 117 | 117 | $89.20 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 83 | 79 | $81.60 |
| 93000 | 27 | 27 | $57.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 33 | 33 | $51.52 |
| 69209 | 33 | 33 | $46.00 | |
| 94010 | 15 | 15 | $31.70 | |
| 90672 | 1,449 | 1,449 | $26.88 | |
| 92227 | 16 | 16 | $19.82 | |
| G0008 | Administration of influenza virus vaccine | 461 | 455 | $14.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 12 | 12 | $12.31 |
| 96160 | 39 | 39 | $11.30 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1,552 | 1,530 | $1.26 |
| 90707 | 2,997 | 2,993 | $0.00 | |
| 99605 | 137 | 137 | $0.00 | |
| 90710 | 1,394 | 1,394 | $0.00 | |
| 3077F | 2,800 | 2,607 | $0.00 | |
| 90713 | 887 | 885 | $0.00 | |
| 90734 | 3,758 | 3,748 | $0.00 | |
| 90633 | 4,013 | 4,011 | $0.00 | |
| T1017 | Targeted case management, each 15 minutes | 128 | 106 | $0.00 |
| 91300 | 3,909 | 3,550 | $0.00 | |
| 90700 | 2,949 | 2,946 | $0.00 | |
| 3078F | 3,208 | 3,069 | $0.00 | |
| G9920 | Screening performed and negative | 3,965 | 3,878 | $0.00 |
| 91308 | 362 | 341 | $0.00 | |
| 3046F | 273 | 265 | $0.00 | |
| 99173 | 1,178 | 1,170 | $0.00 | |
| 90687 | 96 | 95 | $0.00 | |
| 91312 | 590 | 590 | $0.00 | |
| 3045F | 148 | 146 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 56 | 56 | $0.00 |
| 99051 | 65 | 65 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 12 | 12 | $0.00 |
| 3051F | 52 | 50 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 14 | 14 | $0.00 |
| 97161 | 25 | 25 | $0.00 | |
| 0151A | 22 | 22 | $0.00 | |
| 90647 | 6,008 | 6,002 | $0.00 | |
| 94760 | 4,677 | 4,194 | $0.00 | |
| 90723 | 5,980 | 5,972 | $0.00 | |
| 3079F | 3,478 | 3,350 | $0.00 | |
| 90620 | 1,926 | 1,925 | $0.00 | |
| 3044F | 1,246 | 1,212 | $0.00 | |
| 90651 | 4,283 | 4,276 | $0.00 | |
| 3074F | 3,629 | 3,487 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 46 | 44 | $0.00 |
| 3075F | 2,174 | 2,103 | $0.00 | |
| 90680 | 5,223 | 5,215 | $0.00 | |
| 91301 | 1,228 | 1,219 | $0.00 | |
| 90696 | 1,298 | 1,290 | $0.00 | |
| 91305 | 1,000 | 979 | $0.00 | |
| 91303 | 620 | 620 | $0.00 | |
| 90716 | 3,023 | 3,019 | $0.00 | |
| 3080F | 1,874 | 1,746 | $0.00 | |
| 91307 | 2,612 | 2,446 | $0.00 | |
| 91315 | 276 | 276 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 456 | 455 | $0.00 |
| 99607 | 129 | 98 | $0.00 | |
| 91317 | 138 | 138 | $0.00 | |
| 2023F | 154 | 154 | $0.00 | |
| 91318 | 203 | 203 | $0.00 | |
| 91319 | 192 | 192 | $0.00 | |
| 99606 | 12 | 12 | $0.00 | |
| 94761 | 26 | 25 | $0.00 | |
| 3052F | 14 | 14 | $0.00 | |
| 90660 | 18 | 18 | $0.00 |