NPI: 1184195281 · DONIPHAN, MO 63935 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 606 | $12K |
| 2019 | 17,412 | $208K |
| 2020 | 18,560 | $275K |
| 2021 | 16,792 | $331K |
| 2022 | 12,790 | $284K |
| 2023 | 8,380 | $266K |
| 2024 | 8,916 | $343K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 15,837 | 13,425 | $872K | |
| 99214 | 4,296 | 3,784 | $389K | |
| 90837 | 922 | 653 | $127K | |
| G0467 | Fqhc visit, estab pt | 3,626 | 3,123 | $96K |
| 90834 | 655 | 408 | $57K | |
| 99203 | 433 | 409 | $43K | |
| 87880 | 1,806 | 1,615 | $24K | |
| 90791 | 144 | 133 | $21K | |
| 99204 | 119 | 100 | $16K | |
| 99406 | 1,160 | 997 | $13K | |
| 71046 | 362 | 320 | $13K | |
| G2025 | Dis site tele svcs rhc/fqhc | 802 | 569 | $10K |
| G0466 | Fqhc visit new patient | 169 | 161 | $5K |
| 87804 | 380 | 342 | $5K | |
| 81003 | 1,349 | 1,097 | $4K | |
| 99392 | 213 | 211 | $4K | |
| 99394 | 144 | 138 | $4K | |
| 80305 | 298 | 259 | $2K | |
| 99393 | 89 | 89 | $2K | |
| 87807 | 232 | 219 | $2K | |
| 93000 | 58 | 54 | $2K | |
| G2023 | Specimen collect covid-19 | 61 | 59 | $1K |
| 87426 | 36 | 35 | $1K | |
| 83655 | 114 | 114 | $1K | |
| 36415 | 3,847 | 3,151 | $1K | |
| 96127 | 362 | 323 | $620.51 | |
| 96372 | 1,037 | 758 | $580.66 | |
| 81002 | 34 | 33 | $327.47 | |
| 99391 | 17 | 17 | $272.85 | |
| 90471 | 35 | 34 | $238.40 | |
| 82044 | 68 | 58 | $189.12 | |
| 85018 | 99 | 99 | $186.88 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 17 | 14 | $44.18 |
| 90832 | 39 | 29 | $7.00 | |
| 3725F | 2,004 | 1,496 | $0.00 | |
| 1160F | 6,554 | 5,235 | $0.00 | |
| 1159F | 6,836 | 5,438 | $0.00 | |
| 3078F | 2,850 | 2,251 | $0.00 | |
| 0521F | 2,010 | 1,684 | $0.00 | |
| 1158F | 251 | 215 | $0.00 | |
| 2028F | 419 | 300 | $0.00 | |
| 3077F | 469 | 389 | $0.00 | |
| 3008F | 6,321 | 5,007 | $0.00 | |
| 3079F | 1,670 | 1,399 | $0.00 | |
| 1126F | 1,512 | 1,139 | $0.00 | |
| 4010F | 1,115 | 933 | $0.00 | |
| 3075F | 1,070 | 881 | $0.00 | |
| 1125F | 3,668 | 2,984 | $0.00 | |
| 1170F | 2,703 | 2,255 | $0.00 | |
| 3074F | 2,527 | 2,026 | $0.00 | |
| 1220F | 2,067 | 1,520 | $0.00 | |
| G0008 | Admin influenza virus vac | 62 | 57 | $0.00 |
| 1111F | 221 | 191 | $0.00 | |
| 1157F | 234 | 201 | $0.00 | |
| 3044F | 33 | 31 | $0.00 |