NPI: 1881634103 · DYERSBURG, TN 38024 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,136 | $30K |
| 2019 | 1,907 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 655 | 609 | $17K | |
| 99213 | 864 | 600 | $14K | |
| 96372 | 809 | 625 | $6K | |
| 94729 | 192 | 187 | $3K | |
| 94060 | 178 | 174 | $3K | |
| 94727 | 190 | 186 | $2K | |
| 93000 | 254 | 235 | $1K | |
| 93925 | 12 | 12 | $1K | |
| 71046 | 195 | 179 | $778.98 | |
| 90756 | 60 | 58 | $455.81 | |
| 82947 | 393 | 340 | $223.08 | |
| 90471 | 16 | 16 | $209.92 | |
| J1885 | Ketorolac tromethamine inj | 415 | 297 | $173.99 |
| J2550 | Promethazine hcl injection | 232 | 161 | $152.43 |
| 87804 | 18 | 13 | $126.45 | |
| 94640 | 23 | 15 | $109.00 | |
| 95012 | 14 | 14 | $93.68 | |
| 87880 | 19 | 14 | $66.33 | |
| J3420 | Vitamin b12 injection | 131 | 125 | $51.18 |
| J1100 | Dexamethasone sodium phos | 261 | 236 | $32.71 |
| J0696 | Ceftriaxone sodium injection | 66 | 54 | $11.90 |
| 81003 | 14 | 13 | $1.32 | |
| G0008 | Admin influenza virus vac | 32 | 30 | $0.00 |