NPI: 1235156621 · MORRILTON, AR 72110 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 247 | $3K |
| 2019 | 332 | $6K |
| 2020 | 216 | $3K |
| 2021 | 897 | $1K |
| 2022 | 132 | $830.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 696 | 467 | $12K |
| 90686 | 49 | 49 | $742.44 | |
| 0011A | 195 | 193 | $592.90 | |
| G0008 | Admin influenza virus vac | 138 | 137 | $247.20 |
| 0064A | 130 | 126 | $240.00 | |
| 0071A | 17 | 13 | $160.00 | |
| 91301 | 271 | 253 | $0.44 | |
| 91307 | 39 | 31 | $0.08 | |
| 91300 | 39 | 36 | $0.00 | |
| 0012A | 235 | 235 | $0.00 | |
| 0001A | 15 | 15 | $0.00 |