NPI: 1942498670 · GREENVILLE, MI 48838 · Social Worker · NPI assigned 10/09/2007
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/09/2007 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,687 | $780K |
| 2019 | 22,947 | $825K |
| 2020 | 23,594 | $770K |
| 2021 | 23,324 | $881K |
| 2022 | 19,039 | $737K |
| 2023 | 20,663 | $848K |
| 2024 | 13,827 | $569K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 33,467 | 28,387 | $2.13M |
| D7140 | Extraction, erupted tooth or exposed root | 4,387 | 2,223 | $367K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 5,614 | 3,127 | $356K |
| D0120 | Periodic oral evaluation - established patient | 4,392 | 4,391 | $325K |
| D0140 | Limited oral evaluation - problem focused | 2,939 | 2,905 | $287K |
| D1110 | Prophylaxis - adult | 3,124 | 3,123 | $284K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,808 | 1,558 | $273K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,874 | 1,476 | $217K |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2,828 | 2,744 | $201K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,291 | 2,290 | $199K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13,190 | 11,989 | $108K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,441 | 11,278 | $85K |
| D0210 | Intraoral - complete series of radiographic images | 1,720 | 1,657 | $64K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 334 | 306 | $57K |
| D2331 | 439 | 340 | $51K | |
| D1120 | Prophylaxis - child | 1,302 | 1,302 | $49K |
| D0274 | Bitewings - four radiographic images | 2,284 | 2,284 | $44K |
| D1206 | Topical application of fluoride varnish | 1,585 | 1,585 | $37K |
| D4355 | 197 | 197 | $28K | |
| D0220 | Intraoral - periapical first radiographic image | 3,281 | 3,244 | $27K |
| G9007 | Coordinated care fee, scheduled team conference | 2,237 | 1,780 | $24K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,610 | 1,561 | $21K |
| D2330 | 175 | 135 | $19K | |
| D0330 | Panoramic radiographic image | 472 | 472 | $16K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 999 | 960 | $11K |
| 90837 | Psychotherapy, 53 minutes with patient | 690 | 509 | $9K |
| D2332 | 66 | 55 | $9K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 754 | 752 | $9K |
| D0272 | Bitewings - two radiographic images | 454 | 454 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,687 | 1,315 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3,392 | 3,240 | $7K |
| D4910 | 83 | 83 | $6K | |
| 96127 | 8,742 | 7,918 | $6K | |
| 90686 | 2,250 | 2,179 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 373 | 351 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,158 | 1,103 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 376 | 360 | $5K |
| 90832 | Psychotherapy, 30 minutes with patient | 742 | 571 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 481 | 462 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 828 | 331 | $4K |
| 92015 | Determination of refractive state | 1,389 | 1,379 | $3K |
| 99215 | Prolong outpt/office vis | 214 | 213 | $3K |
| G9002 | Coordinated care fee, maintenance rate | 132 | 122 | $3K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 281 | 275 | $3K |
| D2335 | 16 | 13 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 148 | 143 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,500 | 1,450 | $3K |
| 0011A | 44 | 44 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 683 | 592 | $1K |
| 0012A | 35 | 35 | $1K | |
| D0270 | 153 | 153 | $1K | |
| D0240 | 68 | 36 | $1K | |
| G9001 | Coordinated care fee, initial rate | 25 | 25 | $1K |
| 0004A | 41 | 41 | $1K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 699 | 543 | $805.32 |
| 90656 | 46 | 46 | $692.85 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 89 | 87 | $674.94 |
| 98966 | 644 | 502 | $664.94 | |
| D1351 | Sealant - per tooth | 58 | 20 | $576.08 |
| 90791 | Psychiatric diagnostic evaluation | 38 | 38 | $539.60 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 160 | 121 | $527.22 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 26 | 26 | $488.04 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 116 | 94 | $460.03 |
| 90651 | 51 | 50 | $433.34 | |
| 82962 | 707 | 677 | $428.23 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19 | 13 | $329.15 |
| 99000 | 26 | 25 | $286.07 | |
| 0124A | 15 | 15 | $225.18 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 43 | 43 | $212.95 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 25 | 25 | $197.34 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13 | 12 | $179.78 |
| 99442 | 20 | 13 | $175.92 | |
| 81002 | 261 | 248 | $150.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 58 | 58 | $107.81 |
| 90715 | 46 | 42 | $97.50 | |
| 92341 | 16 | 13 | $68.54 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 22 | 18 | $43.37 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 56 | 46 | $36.80 |
| 92551 | 41 | 41 | $13.76 | |
| 99177 | 14 | 13 | $2.77 | |
| 3079F | 1,295 | 1,259 | $0.00 | |
| 3044F | 222 | 218 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 711 | 639 | $0.00 |
| 94760 | 587 | 549 | $0.00 | |
| 3075F | 432 | 430 | $0.00 | |
| 3074F | 1,462 | 1,411 | $0.00 | |
| 3080F | 718 | 683 | $0.00 | |
| 91301 | 84 | 84 | $0.00 | |
| 91305 | 31 | 29 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 80 | 80 | $0.00 |
| 87428 | 13 | 12 | $0.00 | |
| 3078F | 1,173 | 1,134 | $0.00 | |
| 3077F | 1,254 | 1,189 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 203 | 196 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 322 | 291 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 184 | 181 | $0.00 |
| 3045F | 31 | 31 | $0.00 | |
| 90734 | 34 | 29 | $0.00 | |
| 91312 | 15 | 15 | $0.00 | |
| 91300 | 99 | 94 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90670 | 15 | 14 | $0.00 |