NPI: 1982279428 · GRAND RAPIDS, MI 49507 · Addiction (Substance Use Disorder) Counselor · NPI assigned 05/26/2021
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES INC |
| NPI Enumeration Date | 05/26/2021 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $4K |
| 2023 | 1,331 | $77K |
| 2024 | 1,983 | $68K |
| 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 | 1,275 | 968 | $116K |
| 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 | 236 | 196 | $27K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 410 | 379 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 388 | 324 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 326 | 238 | $526.86 |
| 96127 | 515 | 315 | $212.67 | |
| 90832 | Psychotherapy, 30 minutes with patient | 152 | 134 | $100.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 39 | 39 | $64.52 |