NPI: 1356582035 · FAYETTEVILLE, AR 72704 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,951 | $143K |
| 2019 | 4,668 | $135K |
| 2020 | 1,363 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,717 | 4,004 | $150K | |
| 99214 | 1,404 | 1,248 | $88K | |
| 99394 | 471 | 384 | $21K | |
| 99393 | 496 | 365 | $16K | |
| 99173 | 843 | 707 | $12K | |
| 99203 | 196 | 165 | $10K | |
| 87804 | 900 | 493 | $10K | |
| 87880 | 649 | 576 | $7K | |
| J0696 | Ceftriaxone sodium injection | 74 | 53 | $2K |
| 99215 | Prolong outpt/office vis | 17 | 17 | $2K |
| 71046 | 63 | 54 | $2K | |
| 99212 | 69 | 65 | $2K | |
| 36415 | 507 | 450 | $1K | |
| 81002 | 381 | 308 | $523.23 | |
| 90734 | 33 | 29 | $258.12 | |
| 90686 | 23 | 22 | $191.20 | |
| 90651 | 19 | 17 | $143.40 | |
| T1502 | Medication admin visit | 88 | 81 | $126.40 |
| 90471 | 32 | 28 | $0.00 |