NPI: 1831979186 · JOHNSON CITY, TN 37604 · Pediatrics Physician · NPI assigned 10/04/2023
| Authorized Official | TARTE, PATRICIA (ENROLLMENT SUPERVISOR) |
| Parent Organization | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| NPI Enumeration Date | 10/04/2023 |
Other providers sharing the same authorized official: TARTE, PATRICIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOUNTAIN STATES HEALTH ALLIANCE | JOHNSON CITY | TN | $45K |
| BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION | BIG STONE GAP | VA | $18K |
| BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION | JOHNSON CITY | TN | $18K |
| BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION | MOUNTAIN CITY | TN | $114.88 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15,744 | $432K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,237 | 1,237 | $113K | |
| 99213 | 3,224 | 1,733 | $102K | |
| 0241U | 865 | 428 | $76K | |
| 99393 | 538 | 303 | $32K | |
| 99392 | 507 | 300 | $30K | |
| 87651 | 885 | 473 | $24K | |
| 99391 | 425 | 256 | $24K | |
| 90460 | 908 | 551 | $15K | |
| 99394 | 110 | 76 | $8K | |
| 87804 | 350 | 77 | $2K | |
| 99381 | 21 | 14 | $1K | |
| 87880 | 194 | 77 | $1K | |
| 90677 | 354 | 211 | $1K | |
| 83655 | 96 | 54 | $918.31 | |
| 90734 | 43 | 39 | $731.73 | |
| 90461 | 697 | 412 | $268.16 | |
| 87807 | 16 | 16 | $169.23 | |
| 36415 | 74 | 29 | $140.74 | |
| 90647 | 172 | 102 | $70.00 | |
| 90715 | 16 | 14 | $62.46 | |
| 3078F | 1,814 | 1,091 | $10.00 | |
| 90723 | 192 | 129 | $0.00 | |
| 3074F | 1,730 | 1,036 | $0.00 | |
| 90696 | 49 | 24 | $0.00 | |
| 90651 | 28 | 26 | $0.00 | |
| 3075F | 39 | 37 | $0.00 | |
| 90710 | 51 | 26 | $0.00 | |
| 90633 | 56 | 33 | $0.00 | |
| 90681 | 53 | 25 | $0.00 |