AMG -SOUTHERN TENNESSEE LLC
NPI: 1699792390
· MONTEAGLE, TN 37356
· Internal Medicine Physician
· NPI assigned 07/17/2006
Provider Details
| Authorized Official | GRACEY, WILLIAM (CEO) |
| Parent Organization | AMG-SOUTHERN TENNESSEE LLC |
| NPI Enumeration Date | 07/17/2006 |
Related Entities
Other providers sharing the same authorized official: GRACEY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
725 |
$13K |
| 2019 |
478 |
$8K |
| 2020 |
114 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
655 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
388 |
$7K |
| 90756 |
|
16 |
14 |
$219.51 |
| 99336 |
|
12 |
12 |
$93.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$41.43 |
| 90653 |
|
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
36 |
$0.00 |