NPI: 1295980134 · KENNETT, MO 63857 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 168 | $2K |
| 2020 | 78 | $1K |
| 2021 | 219 | $2K |
| 2022 | 162 | $2K |
| 2023 | 380 | $9K |
| 2024 | 238 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 643 | 472 | $20K | |
| 99213 | 170 | 131 | $4K | |
| 36410 | 268 | 198 | $837.60 | |
| 96120 | 15 | 15 | $188.15 | |
| 99212 | 15 | 13 | $119.63 | |
| G0396 | Alcohol/subs interv 15-30mn | 15 | 15 | $103.67 |
| 96103 | 15 | 15 | $76.33 | |
| G8427 | Docrev cur meds by elig clin | 16 | 15 | $0.00 |
| 99072 | 17 | 16 | $0.00 | |
| G0444 | Depression screen annual | 43 | 30 | $0.00 |
| G0008 | Admin influenza virus vac | 14 | 13 | $0.00 |
| 90686 | 14 | 13 | $0.00 |