NPI: 1205163540 · MONTICELLO, AR 71655 · 103TB0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,676 | $550K |
| 2019 | 4,661 | $653K |
| 2020 | 4,306 | $497K |
| 2021 | 6,567 | $645K |
| 2022 | 8,877 | $690K |
| 2023 | 10,428 | $896K |
| 2024 | 8,680 | $879K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 27,736 | 21,592 | $4.66M |
| G0467 | Fqhc visit, estab pt | 2,800 | 2,331 | $55K |
| 87636 | 710 | 659 | $30K | |
| 87428 | 463 | 416 | $22K | |
| 87426 | 853 | 789 | $20K | |
| G2025 | Dis site tele svcs rhc/fqhc | 106 | 96 | $6K |
| 99213 | 3,162 | 2,596 | $4K | |
| 99392 | 71 | 62 | $3K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 257 | 243 | $3K |
| 99393 | 42 | 34 | $2K | |
| 0001A | 42 | 41 | $2K | |
| 99214 | 261 | 241 | $2K | |
| 81025 | 583 | 484 | $1K | |
| 0002A | 14 | 14 | $980.00 | |
| 85025 | 1,404 | 1,268 | $725.07 | |
| 99401 | 395 | 332 | $714.00 | |
| 83036 | 444 | 403 | $566.58 | |
| 96372 | 695 | 573 | $290.77 | |
| 81003 | 4,066 | 3,039 | $267.15 | |
| Q3014 | Telehealth facility fee | 106 | 93 | $223.52 |
| 90686 | 14 | 14 | $216.30 | |
| 90734 | 15 | 13 | $144.54 | |
| 59025 | 19 | 12 | $127.23 | |
| 90688 | 12 | 12 | $92.70 | |
| 90715 | 21 | 15 | $91.98 | |
| 90471 | 191 | 158 | $52.56 | |
| 87804 | 282 | 251 | $27.70 | |
| 80305 | 374 | 350 | $20.00 | |
| J0702 | Betamethasone acet&sod phosp | 36 | 27 | $13.06 |
| 36415 | 330 | 287 | $12.38 | |
| 3044F | 64 | 58 | $0.01 | |
| 87210 | 84 | 80 | $0.00 | |
| 87880 | 240 | 235 | $0.00 | |
| 91300 | 24 | 22 | $0.00 | |
| 87400 | 15 | 13 | $0.00 | |
| 3078F | 59 | 56 | $0.00 | |
| 90746 | 27 | 26 | $0.00 | |
| 97803 | 192 | 179 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 65 | 55 | $0.00 |
| Q0091 | Obtaining screen pap smear | 34 | 25 | $0.00 |
| 3074F | 61 | 55 | $0.00 | |
| 87430 | 455 | 409 | $0.00 | |
| 87807 | 208 | 193 | $0.00 | |
| 96127 | 14 | 14 | $0.00 | |
| 1034F | 29 | 28 | $0.00 | |
| Q0111 | Wet mounts/ w preparations | 90 | 82 | $0.00 |
| 3075F | 13 | 12 | $0.00 | |
| 82951 | 17 | 14 | $0.00 |