NPI: 1982977294 · MARYVILLE, TN 37804 · 163WP0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 419 | $17K |
| 2020 | 1,850 | $48K |
| 2021 | 322 | $7K |
| 2022 | 431 | $7K |
| 2023 | 713 | $14K |
| 2024 | 182 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,403 | 1,215 | $50K | |
| 99213 | 1,134 | 982 | $30K | |
| 99205 | Prolong outpt/office vis | 87 | 74 | $7K |
| 99215 | Prolong outpt/office vis | 113 | 100 | $6K |
| 99204 | 29 | 26 | $2K | |
| 36415 | 694 | 587 | $830.77 | |
| 96127 | 149 | 113 | $712.34 | |
| 90756 | 41 | 30 | $392.34 | |
| 99406 | 63 | 48 | $378.06 | |
| 81003 | 163 | 130 | $241.42 | |
| G0008 | Admin influenza virus vac | 41 | 30 | $140.04 |