NPI: 1013640713 · SALTILLO, MS 38866 · Family Medicine Physician · NPI assigned 07/08/2022
Authorized official HICKS, STEPHANIE controls 15+ related entities in our dataset. Read more
| Authorized Official | HICKS, STEPHANIE (CONTROLLER) |
| NPI Enumeration Date | 07/08/2022 |
Other providers sharing the same authorized official: HICKS, STEPHANIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| CONVENIENT CARE CLINIC, LLC | HORN LAKE | MS | $2.87M |
| ADVANTAGE FAMILY CARE INC | CULLMAN | AL | $258K |
| CROSSROADS URGENT CARE PLLC | COOKEVILLE | TN | $136K |
| CONVENIENT CARE CLINIC, LLC | BATESVILLE | MS | $129K |
| CROSSROADS URGENT CARE PLLC | TULLAHOMA | TN | $79K |
| GOLDEN TRIANGLE URGENT CARE LLC | STARKVILLE | MS | $53K |
| GOLDEN TRIANGLE URGENT CARE LLC | WEST POINT | MS | $35K |
| ADVANTAGE FAMILY CARE, INC. | ATHENS | AL | $33K |
| CROSSROADS URGENT CARE PLLC | SPRINGFIELD | TN | $14K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | WYNNE | AR | $5K |
| CROSSROADS URGENT CARE PLLC | DAYTON | TN | $4K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | SEARCY | AR | $4K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | BATESVILLE | AR | $3K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | LONOKE | AR | $2K |
| URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | HARRISON | AR | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 212 | $0.00 |
| 2023 | 1,816 | $7K |
| 2024 | 159 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 269 | 201 | $5K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100 | 76 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 306 | 190 | $199.88 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 627 | 188 | $127.00 |
| 99051 | 199 | 155 | $108.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16 | 14 | $88.21 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 117 | 78 | $53.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 265 | 170 | $35.57 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 50 | 24 | $4.17 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 238 | 158 | $2.60 |