NPI: 1154809051 · HARRISON, AR 72601 · Family Medicine Physician · NPI assigned 08/02/2018
Authorized official SMITH, ANDREA controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, ANDREA (VP FINANCE/CFO) |
| NPI Enumeration Date | 08/02/2018 |
Other providers sharing the same authorized official: SMITH, ANDREA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,618 | $39K |
| 2023 | 5,134 | $171K |
| 2024 | 4,051 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,470 | 3,695 | $131K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,694 | 1,468 | $93K |
| 87428 | 1,066 | 903 | $65K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 526 | 483 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,667 | 1,400 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 221 | 197 | $11K |
| 87807 | 619 | 538 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 29 | 26 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 33 | 29 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 142 | 128 | $844.80 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15 | 15 | $357.81 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 236 | 108 | $79.20 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 54 | 50 | $46.13 |
| 96127 | 12 | 12 | $33.99 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 19 | 16 | $0.00 |