NPI: 1386035202 · GRENADA, MS 38901 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,793 | $99K |
| 2019 | 2,795 | $88K |
| 2020 | 2,646 | $62K |
| 2021 | 2,475 | $70K |
| 2022 | 3,809 | $90K |
| 2023 | 2,671 | $86K |
| 2024 | 1,685 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,505 | 4,562 | $217K | |
| 99214 | 3,088 | 2,417 | $161K | |
| 87426 | 1,911 | 1,570 | $41K | |
| 87804 | 4,399 | 1,945 | $40K | |
| 99215 | Prolong outpt/office vis | 332 | 263 | $21K |
| 99204 | 188 | 163 | $17K | |
| 87880 | 1,520 | 1,311 | $14K | |
| 96372 | 781 | 579 | $7K | |
| 99203 | 165 | 96 | $5K | |
| 99202 | 104 | 94 | $4K | |
| 87428 | 12 | 12 | $398.10 | |
| 36415 | 196 | 175 | $205.98 | |
| J0696 | Ceftriaxone sodium injection | 113 | 90 | $78.00 |
| J1100 | Dexamethasone sodium phos | 212 | 173 | $39.40 |
| 81002 | 19 | 12 | $30.60 | |
| G8427 | Docrev cur meds by elig clin | 329 | 294 | $0.00 |