NPI: 1003470501 · FORT SMITH, AR 72908 · 207LP2900X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 34 | $0.00 |
| 2021 | 2,612 | $40K |
| 2022 | 5,283 | $47K |
| 2023 | 956 | $4K |
| 2024 | 140 | $140.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 7,654 | 5,789 | $87K | |
| 99204 | 118 | 90 | $3K | |
| 62323 | 13 | 12 | $458.12 | |
| J3301 | Triamcinolone acet inj nos | 592 | 443 | $58.67 |
| 20610 | 68 | 28 | $19.78 | |
| J2704 | Inj, propofol, 10 mg | 165 | 128 | $3.19 |
| 96372 | 100 | 78 | $2.96 | |
| J2250 | Inj midazolam hydrochloride | 22 | 12 | $0.14 |
| Q9966 | Locm 200-299mg/ml iodine,1ml | 64 | 51 | $0.06 |
| 80305 | 81 | 67 | $0.00 | |
| 99152 | 27 | 24 | $0.00 | |
| J3420 | Vitamin b12 injection | 94 | 81 | $0.00 |
| J1100 | Dexamethasone sodium phos | 27 | 13 | $0.00 |