NPI: 1811380066 · SARANAC, MI 48881 · Family Medicine Physician · NPI assigned 03/12/2015
Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSIAN, MISTY (SUPERVISOR. PROVIDER ENROLLMENT) |
| NPI Enumeration Date | 03/12/2015 |
Other providers sharing the same authorized official: RUSSIAN, MISTY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,551 | $61K |
| 2019 | 2,642 | $62K |
| 2020 | 1,628 | $50K |
| 2021 | 2,122 | $64K |
| 2022 | 3,459 | $72K |
| 2023 | 7,452 | $93K |
| 2024 | 5,837 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 8,421 | 7,257 | $401K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,438 | 3,188 | $44K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,988 | 2,761 | $26K |
| 90686 | 257 | 254 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 295 | 290 | $712.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 49 | 28 | $170.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 39 | 39 | $154.68 |
| 0012A | 12 | 12 | $75.70 | |
| 96127 | 31 | 30 | $28.56 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12 | 12 | $11.49 |
| 4004F | 563 | 502 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 2,276 | 2,044 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 419 | 374 | $0.00 |
| 3078F | 1,483 | 1,382 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 370 | 308 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 1,020 | 930 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 111 | 104 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 311 | 271 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 73 | 65 | $0.00 |
| 3077F | 16 | 13 | $0.00 | |
| 1036F | 1,634 | 1,463 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 484 | 429 | $0.00 |
| 3075F | 80 | 79 | $0.00 | |
| 3079F | 521 | 505 | $0.00 | |
| 3074F | 1,772 | 1,630 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 16 | 13 | $0.00 |