NPI: 1194894147 · SOUTHAVEN, MS 38671 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,129 | $8K |
| 2019 | 865 | $8K |
| 2020 | 479 | $4K |
| 2021 | 452 | $5K |
| 2022 | 405 | $6K |
| 2023 | 131 | $2K |
| 2024 | 406 | $152.71 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,840 | 1,664 | $26K | |
| 99490 | Ccm add 20min | 818 | 798 | $5K |
| G0438 | Ppps, initial visit | 35 | 31 | $843.18 |
| 99214 | 72 | 65 | $688.58 | |
| 96372 | 291 | 214 | $195.69 | |
| 36415 | 307 | 284 | $65.64 | |
| G2058 | Ccm add 20min | 34 | 14 | $55.29 |
| 1125F | 76 | 65 | $0.00 | |
| G0439 | Ppps, subseq visit | 16 | 12 | $0.00 |
| 3008F | 59 | 44 | $0.00 | |
| 82962 | 36 | 30 | $0.00 | |
| G0442 | Annual alcohol screen 15 min | 49 | 38 | $0.00 |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| G0506 | Comp asses care plan ccm svc | 13 | 12 | $0.00 |
| 1159F | 74 | 57 | $0.00 | |
| 1160F | 74 | 57 | $0.00 | |
| G0444 | Depression screen annual | 16 | 12 | $0.00 |
| 99497 | 45 | 37 | $0.00 |