NPI: 1326120106 · ARKADELPHIA, AR 71923 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 210 | $643.72 |
| 2021 | 6,755 | $26K |
| 2022 | 2,360 | $9K |
| 2023 | 795 | $0.00 |
| 2024 | 350 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 2,373 | 2,335 | $8K | |
| 0012A | 1,854 | 1,829 | $8K | |
| 0064A | 2,206 | 2,186 | $6K | |
| G0008 | Admin influenza virus vac | 1,674 | 1,623 | $6K |
| 90686 | 1,322 | 1,286 | $6K | |
| 91322 | 116 | 115 | $2K | |
| 90674 | 259 | 250 | $2K | |
| 0001A | 14 | 14 | $400.00 | |
| 90480 | 100 | 100 | $0.00 | |
| 90732 | 46 | 46 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 89 | 89 | $0.00 |
| 0134A | 296 | 294 | $0.00 | |
| 90656 | 32 | 32 | $0.00 | |
| 0031A | 12 | 12 | $0.00 | |
| 90662 | 77 | 77 | $0.00 |