NPI: 1154348548 · WEST MEMPHIS, AR 72301 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 206 | $7K |
| 2019 | 81 | $2K |
| 2020 | 83 | $2K |
| 2021 | 580 | $829.17 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 359 | 294 | $11K |
| 0012A | 132 | 132 | $312.29 | |
| 0011A | 123 | 123 | $220.22 | |
| 90686 | 13 | 12 | $193.68 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $169.95 |
| 91301 | 119 | 116 | $0.40 | |
| 91307 | 41 | 37 | $0.00 | |
| 0064A | 48 | 48 | $0.00 | |
| 0072A | 14 | 14 | $0.00 | |
| 0001A | 18 | 18 | $0.00 | |
| 91300 | 35 | 33 | $0.00 | |
| 0071A | 22 | 22 | $0.00 | |
| 0002A | 12 | 12 | $0.00 |