EAST TENNESSEE STATE UNIVERSITY
NPI: 1982905576
· JOHNSON CITY, TN 37601
· Federally Qualified Health Center (FQHC)
· NPI assigned 11/12/2010
Provider Details
| Authorized Official | KING, BETTY (ACTING CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 11/12/2010 |
Related Entities
Other providers sharing the same authorized official: KING, BETTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
317 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
96 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
95 |
$3K |
| 99408 |
|
37 |
22 |
$154.98 |