NPI: 1366061905 · MOUNTAIN HOME, AR 72653 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 114 | $2K |
| 2022 | 215 | $2K |
| 2023 | 242 | $3K |
| 2024 | 4,715 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Admin influenza virus vac | 556 | 522 | $7K |
| 90677 | 527 | 344 | $5K | |
| 90647 | 415 | 270 | $4K | |
| 90723 | 459 | 299 | $4K | |
| 90686 | 228 | 205 | $3K | |
| 90656 | 216 | 205 | $3K | |
| 90661 | 89 | 79 | $2K | |
| 90681 | 250 | 163 | $2K | |
| 90633 | 184 | 125 | $1K | |
| 90716 | 160 | 108 | $1K | |
| 90707 | 156 | 105 | $1K | |
| 90674 | 26 | 26 | $596.44 | |
| 90651 | 24 | 14 | $574.58 | |
| 90696 | 61 | 42 | $486.18 | |
| 90688 | 16 | 16 | $242.25 | |
| 90734 | 22 | 14 | $236.42 | |
| 90700 | 24 | 15 | $170.82 | |
| 90461 | 807 | 520 | $0.00 | |
| 90460 | 1,066 | 690 | $0.00 |