NPI: 1801941687 · ELIZABETHTON, TN 37643 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,988 | $120K |
| 2019 | 5,592 | $109K |
| 2020 | 2,229 | $44K |
| 2021 | 1,874 | $44K |
| 2022 | 3,945 | $79K |
| 2023 | 3,325 | $68K |
| 2024 | 2,174 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99401 | 2,876 | 2,585 | $81K | |
| 90460 | 2,329 | 2,247 | $77K | |
| D1206 | 3,017 | 2,989 | $56K | |
| 99381 | 443 | 432 | $35K | |
| D0330 | 984 | 961 | $29K | |
| D0150 | 824 | 812 | $23K | |
| 99391 | 337 | 332 | $22K | |
| D1120 | 694 | 688 | $21K | |
| 96372 | 1,225 | 1,160 | $19K | |
| D0140 | 627 | 612 | $15K | |
| D1110 | 328 | 325 | $13K | |
| 96110 | 1,225 | 1,176 | $13K | |
| D0190 | 1,167 | 1,152 | $13K | |
| D0274 | 493 | 479 | $11K | |
| 81025 | 1,835 | 1,642 | $10K | |
| D0120 | 384 | 384 | $9K | |
| 99392 | 111 | 106 | $8K | |
| D0272 | 391 | 385 | $6K | |
| D1351 | 690 | 72 | $4K | |
| D0220 | 320 | 303 | $4K | |
| 94250 | 184 | 154 | $3K | |
| T2028 | Special supply, nos waiver | 157 | 143 | $3K |
| D2140 | 48 | 43 | $3K | |
| 99393 | 37 | 31 | $2K | |
| 92551 | 302 | 269 | $2K | |
| 90651 | 118 | 114 | $2K | |
| 0001A | 53 | 47 | $2K | |
| 99212 | 57 | 53 | $1K | |
| D0145 | 54 | 54 | $1K | |
| 0002A | 33 | 28 | $1K | |
| 99395 | 14 | 14 | $1K | |
| 96127 | 265 | 236 | $1K | |
| 99173 | 327 | 295 | $917.10 | |
| 99213 | 28 | 24 | $884.58 | |
| 36416 | 374 | 339 | $851.24 | |
| D1354 | 110 | 26 | $698.69 | |
| 85018 | 224 | 201 | $611.25 | |
| 99071 | 193 | 172 | $560.00 | |
| 90686 | 804 | 795 | $553.71 | |
| 36415 | 145 | 133 | $322.97 | |
| 90715 | 98 | 95 | $296.11 | |
| D0230 | 23 | 14 | $226.75 | |
| 90734 | 48 | 45 | $215.82 | |
| 83655 | 13 | 13 | $195.48 | |
| 90471 | 21 | 14 | $139.66 | |
| 90688 | 31 | 31 | $50.00 | |
| 99000 | 13 | 12 | $0.00 | |
| D1330 | 147 | 140 | $0.00 | |
| 90716 | 42 | 40 | $0.00 | |
| 90674 | 59 | 59 | $0.00 | |
| 90461 | 664 | 630 | $0.00 | |
| 90707 | 52 | 50 | $0.00 | |
| 90658 | 48 | 48 | $0.00 | |
| 90633 | 24 | 24 | $0.00 | |
| 90670 | 17 | 12 | $0.00 |