TULLAHOMA IMMEDIATE CARE PC
NPI: 1730457649
· TULLAHOMA, TN 37388
· 207Q00000X
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
831 |
$20K |
| 2019 |
691 |
$16K |
| 2020 |
741 |
$14K |
| 2022 |
44 |
$2K |
| 2023 |
1,234 |
$27K |
| 2024 |
1,002 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,075 |
1,689 |
$53K |
| 99214 |
|
1,617 |
1,253 |
$47K |
| 99442 |
|
81 |
35 |
$995.28 |
| 96372 |
|
127 |
97 |
$904.55 |
| 36415 |
|
493 |
409 |
$514.92 |
| 90686 |
|
26 |
25 |
$407.82 |
| 87804 |
|
32 |
13 |
$278.44 |
| 90471 |
|
22 |
21 |
$141.14 |
| 81003 |
|
13 |
12 |
$19.65 |
| J1100 |
Dexamethasone sodium phos |
14 |
12 |
$14.86 |
| 4274F |
|
43 |
38 |
$0.00 |