NPI: 1740527753 · PULASKI, TN 38478 · Sports Medicine (Family Medicine) Physician · NPI assigned 01/10/2013
Authorized official JUDY, JESS controls 20+ related entities in our dataset. Read more
| Authorized Official | JUDY, JESS (PRESIDENT) |
| NPI Enumeration Date | 01/10/2013 |
Other providers sharing the same authorized official: JUDY, JESS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,701 | $97K |
| 2019 | 97 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,175 | 1,004 | $63K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 477 | 418 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 78 | 72 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 112 | 98 | $5K |
| 1159F | 1,584 | 1,288 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 93 | 77 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15 | 12 | $900.20 |
| 3008F | 341 | 296 | $543.21 | |
| 90686 | 67 | 46 | $462.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 32 | 26 | $376.36 |
| 81003 | 482 | 328 | $295.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16 | 14 | $77.11 |
| 3074F | 29 | 26 | $40.00 | |
| 3078F | 13 | 13 | $20.00 | |
| 0502F | 183 | 109 | $0.00 | |
| 90681 | 14 | 14 | $0.00 | |
| 90648 | 27 | 27 | $0.00 | |
| 90670 | 30 | 30 | $0.00 | |
| 90687 | 16 | 13 | $0.00 | |
| 90723 | 14 | 14 | $0.00 |