NPI: 1710985858 · DYERSBURG, TN 38024 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,503 | $289K |
| 2019 | 8,975 | $255K |
| 2020 | 8,649 | $233K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,403 | 6,219 | $328K | |
| 90460 | 2,124 | 1,952 | $106K | |
| 99391 | 1,764 | 1,493 | $104K | |
| 99392 | 1,033 | 963 | $69K | |
| 96110 | 3,449 | 3,069 | $66K | |
| 87880 | 3,406 | 2,769 | $28K | |
| 99393 | 349 | 315 | $23K | |
| 99394 | 141 | 134 | $11K | |
| 99460 | 168 | 150 | $9K | |
| 87804 | 914 | 392 | $9K | |
| 99238 | 159 | 137 | $8K | |
| 54150 | 13 | 13 | $3K | |
| 85025 | 355 | 268 | $2K | |
| 92551 | 289 | 274 | $2K | |
| 99381 | 30 | 30 | $2K | |
| 99173 | 428 | 400 | $2K | |
| 36415 | 705 | 578 | $1K | |
| 99462 | 42 | 32 | $967.72 | |
| J0696 | Ceftriaxone sodium injection | 425 | 346 | $768.88 |
| 90471 | 63 | 63 | $740.40 | |
| 90651 | 44 | 44 | $590.00 | |
| 90688 | 96 | 93 | $408.04 | |
| 99211 | 134 | 131 | $356.64 | |
| 90670 | 1,114 | 1,027 | $354.83 | |
| 90716 | 258 | 235 | $352.90 | |
| 96160 | 83 | 78 | $214.90 | |
| 90700 | 235 | 218 | $179.90 | |
| 90680 | 780 | 722 | $122.45 | |
| 90648 | 859 | 791 | $105.71 | |
| 90707 | 257 | 233 | $104.37 | |
| 90633 | 363 | 334 | $88.42 | |
| 90713 | 44 | 43 | $46.71 | |
| 90723 | 855 | 790 | $35.48 | |
| 81002 | 13 | 12 | $33.89 | |
| 90686 | 187 | 181 | $22.25 | |
| J2001 | Lidocaine injection | 19 | 19 | $0.26 |
| 90734 | 14 | 14 | $0.00 | |
| 90649 | 15 | 15 | $0.00 | |
| 99000 | 497 | 420 | $0.00 |