NPI: 1083613210 · GRENADA, MS 38901 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,131 | $11K |
| 2019 | 901 | $11K |
| 2020 | 713 | $13K |
| 2021 | 405 | $9K |
| 2022 | 30 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,415 | 1,193 | $38K | |
| 99213 | 437 | 390 | $8K | |
| 96372 | 529 | 396 | $212.91 | |
| 36415 | 532 | 498 | $25.60 | |
| G0008 | Admin influenza virus vac | 26 | 26 | $0.00 |
| 83036 | 27 | 25 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 127 | 119 | $0.00 |
| 90674 | 24 | 22 | $0.00 | |
| 80061 | 25 | 25 | $0.00 | |
| J0702 | Betamethasone acet&sod phosp | 26 | 13 | $0.00 |
| 80305 | 12 | 12 | $0.00 |