Cherry Street Services, INC.
Cherry Street Services, INC. was paid $24.52M by Medicaid between Jan 2018 and Dec 2024, across 205 billing codes. Its largest line is G0467, community health center visit, returning patient — 48% of everything it billed.
33Billing provider infoCHERRY STREET SERVICES, INC.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1669530986assigned 12/06/2006
33bProvider typeOptometrist
28Total paid$24.52M
24GClaims904,971
24DCodes billed205
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#2 of 497
Median peer was paid$21K
This provider vs. median1,168×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 110,285 | $3.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally 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 | 48% | 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 | 15% | 56,348 | 32,793 | $3.59M |
| G0466 | Community health center visit, new patientFederally 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 | 3.9% | 12,107 | 11,861 | $959K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 9,148 | 8,914 | $826K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 8,988 | 5,349 | $699K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 13,094 | 13,087 | $688K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 4,429 | 3,348 | $447K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 3,047 | 2,632 | $412K |
| D1110 | Prophylaxis - adult | 1.6% | 4,921 | 4,920 | $387K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 9,570 | 9,569 | $379K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 60,197 | 54,902 | $312K |
| D1206 | Topical application of fluoride varnish | 1.2% | 12,194 | 12,191 | $299K |
193 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.2% | 45,914 | $285K |
| D1351 | Sealant - per tooth | <1% | 8,343 | $225K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,763 | $224K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 844 | $163K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,906 | $132K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 21,434 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,544 | $111K |
| D0272 | Bitewings - two radiographic images | <1% | 4,694 | $99K |
| D0274 | Bitewings - four radiographic images | <1% | 4,472 | $95K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 12,647 | $92K |
| 90837 | Psychotherapy session, about an hour | <1% | 11,208 | $91K |
| D0330 | Panoramic radiographic image | <1% | 2,374 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 10,676 | $85K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 8,682 | $84K |
| D1354 | <1% | 4,008 | $77K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 4,219 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 9,239 | $72K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 3,209 | $68K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,230 | $64K |
| 0001A | <1% | 1,779 | $63K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18,041 | $62K |
| 0002A | <1% | 1,621 | $60K | |
| D0240 | <1% | 2,833 | $58K | |
| D4355 | <1% | 422 | $56K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 6,622 | $52K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12,619 | $49K |
| 0071A | <1% | 1,363 | $48K | |
| 99000 | <1% | 4,129 | $46K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29,217 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,355 | $44K |
| D2330 | <1% | 436 | $43K | |
| D2331 | <1% | 373 | $43K | |
| 0072A | <1% | 1,133 | $42K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 298 | $37K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 3,406 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 222 | $36K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 516 | $27K |
| 99442 | <1% | 1,272 | $27K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,279 | $23K |
| D4910 | <1% | 247 | $22K | |
| 0031A | <1% | 638 | $21K | |
| 0004A | <1% | 570 | $21K | |
| 0012A | <1% | 597 | $21K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 570 | $21K |
| 0011A | <1% | 685 | $20K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 3,253 | $20K |
| 92015 | Determination of refractive state | <1% | 13,097 | $20K |
| 90480 | <1% | 753 | $20K | |
| 99381 | <1% | 2,258 | $18K | |
| D2140 | <1% | 201 | $18K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,398 | $17K |
| 0054A | <1% | 493 | $16K | |
| D7111 | <1% | 240 | $16K | |
| 96127 | <1% | 26,594 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,233 | $12K |
| 0124A | <1% | 582 | $11K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 685 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,144 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 842 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 910 | $8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 6,726 | $8K |
| 99382 | <1% | 645 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,564 | $7K |
| 0052A | <1% | 207 | $7K | |
| 90686 | <1% | 18,103 | $7K | |
| 0081A | <1% | 217 | $7K | |
| 0051A | <1% | 197 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,990 | $7K |
| 92551 | <1% | 8,047 | $6K | |
| 0154A | <1% | 254 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,036 | $6K |
| 90473 | <1% | 6,725 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 940 | $6K |
| 99443 | <1% | 190 | $6K | |
| 99383 | <1% | 690 | $5K | |
| 98966 | <1% | 2,613 | $5K | |
| 0082A | <1% | 134 | $5K | |
| 99001 | <1% | 529 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,489 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,959 | $4K |
| 98960 | <1% | 201 | $4K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,090 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 31 | $4K |
| 92133 | <1% | 1,783 | $3K | |
| D9310 | <1% | 332 | $3K | |
| 91320 | <1% | 266 | $3K | |
| D0270 | <1% | 448 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 981 | $3K |
| D1510 | <1% | 13 | $3K | |
| 87428 | <1% | 637 | $3K | |
| 83655 | <1% | 1,753 | $3K | |
| D2335 | <1% | 16 | $2K | |
| 90715 | <1% | 2,780 | $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 | <1% | 25 | $2K |
| 98967 | <1% | 257 | $2K | |
| 90670 | <1% | 6,545 | $1K | |
| 85018 | <1% | 4,501 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 266 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 13 | $1K |
| 90746 | <1% | 165 | $1K | |
| 92083 | <1% | 288 | $1K | |
| 81025 | <1% | 1,122 | $1K | |
| 90656 | <1% | 635 | $1K | |
| 92134 | <1% | 453 | $985.10 | |
| 99177 | <1% | 4,522 | $971.39 | |
| 90632 | <1% | 84 | $930.61 | |
| 92552 | <1% | 806 | $906.13 | |
| 90677 | <1% | 1,445 | $894.12 | |
| 0173A | <1% | 32 | $879.69 | |
| 81002 | <1% | 2,315 | $872.30 | |
| 92341 | <1% | 315 | $849.46 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 272 | $829.92 |
| 99441 | <1% | 91 | $564.67 | |
| 0073A | <1% | 19 | $525.52 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 121 | $511.41 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 57 | $449.45 |
| 0074A | <1% | 50 | $375.30 | |
| 98961 | <1% | 31 | $293.97 | |
| 82962 | <1% | 557 | $289.96 | |
| 0121A | <1% | 28 | $239.88 | |
| 92250 | <1% | 39 | $234.75 | |
| 90714 | <1% | 55 | $163.60 | |
| 85610 | <1% | 97 | $157.28 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 383 | $120.61 |
| 0171A | <1% | 14 | $119.94 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 65 | $108.15 |
| 99384 | <1% | 26 | $99.37 | |
| 90688 | <1% | 117 | $89.20 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 83 | $81.60 |
| 93000 | <1% | 27 | $57.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $51.52 |
| 69209 | <1% | 33 | $46.00 | |
| 94010 | <1% | 15 | $31.70 | |
| 90672 | <1% | 1,449 | $26.88 | |
| 92227 | <1% | 16 | $19.82 | |
| G0008 | Administration of influenza virus vaccine | <1% | 461 | $14.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $12.31 |
| 96160 | <1% | 39 | $11.30 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,552 | $1.26 |
| 90707 | 0% | 2,997 | $0.00 | |
| 99605 | 0% | 137 | $0.00 | |
| 90710 | 0% | 1,394 | $0.00 | |
| 3077F | 0% | 2,800 | $0.00 | |
| 90713 | 0% | 887 | $0.00 | |
| 90734 | 0% | 3,758 | $0.00 | |
| 90633 | 0% | 4,013 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 128 | $0.00 |
| 91300 | 0% | 3,909 | $0.00 | |
| 90700 | 0% | 2,949 | $0.00 | |
| 3078F | 0% | 3,208 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 3,965 | $0.00 |
| 91308 | 0% | 362 | $0.00 | |
| 3046F | 0% | 273 | $0.00 | |
| 99173 | 0% | 1,178 | $0.00 | |
| 90687 | 0% | 96 | $0.00 | |
| 91312 | 0% | 590 | $0.00 | |
| 3045F | 0% | 148 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 56 | $0.00 |
| 99051 | 0% | 65 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 3051F | 0% | 52 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| 97161 | 0% | 25 | $0.00 | |
| 0151A | 0% | 22 | $0.00 | |
| 90647 | 0% | 6,008 | $0.00 | |
| 94760 | 0% | 4,677 | $0.00 | |
| 90723 | 0% | 5,980 | $0.00 | |
| 3079F | 0% | 3,478 | $0.00 | |
| 90620 | 0% | 1,926 | $0.00 | |
| 3044F | 0% | 1,246 | $0.00 | |
| 90651 | 0% | 4,283 | $0.00 | |
| 3074F | 0% | 3,629 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 46 | $0.00 |
| 3075F | 0% | 2,174 | $0.00 | |
| 90680 | 0% | 5,223 | $0.00 | |
| 91301 | 0% | 1,228 | $0.00 | |
| 90696 | 0% | 1,298 | $0.00 | |
| 91305 | 0% | 1,000 | $0.00 | |
| 91303 | 0% | 620 | $0.00 | |
| 90716 | 0% | 3,023 | $0.00 | |
| 3080F | 0% | 1,874 | $0.00 | |
| 91307 | 0% | 2,612 | $0.00 | |
| 91315 | 0% | 276 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 456 | $0.00 |
| 99607 | 0% | 129 | $0.00 | |
| 91317 | 0% | 138 | $0.00 | |
| 2023F | 0% | 154 | $0.00 | |
| 91318 | 0% | 203 | $0.00 | |
| 91319 | 0% | 192 | $0.00 | |
| 99606 | 0% | 12 | $0.00 | |
| 94761 | 0% | 26 | $0.00 | |
| 3052F | 0% | 14 | $0.00 | |
| 90660 | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBLACKMON, TASHA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cherry Street Services, INC. | Grand Rapids, MI | $50.78M |
| Cherry Street Services, INC. | Grand Rapids, MI | $7.78M |
| Cherry Street Services INC | Muskegon, MI | $6.01M |
| Cherry Street Services INC | Wyoming, MI | $5.76M |
| Cherry Street Services INC | Greenville, MI | $5.41M |
| Cherry Street Services, INC. | Grand Rapids, MI | $4.29M |
| Cherry Street Services INC | Grand Rapids, MI | $3.60M |
| Cherry Street Services, INC. | Grand Rapids, MI | $2.34M |
| Cherry Street Services, INC | Hastings, MI | $2.20M |
| Cherry Street Services, INC. | Grand Rapids, MI | $1.27M |
| Cherry Street Services INC | Grand Rapids, MI | $1.12M |
| Cherry Street Services INC | Grand Rapids, MI | $799K |
| Cherry Street Services INC | Grand Rapids, MI | $636K |
| Cherry Street Services, INC. | Grand Rapids, MI | $233K |
| Cherry Street Services INC | Grand Rapids, MI | $227K |
| Cherry Street Services INC | Cedar Springs, MI | $213K |
| Cherry Street Services, INC. | Grand Rapids, MI | $151K |
| Cherry Street Services INC | Grand Rapids, MI | $148K |
| Cherry Street Services INC | Wyoming, MI | $118K |
| Cherry Street Services INC | Wyoming, MI | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.