NPI: 1386214872 · TEXARKANA, AR 71854 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 760 | $22K |
| 2022 | 2,373 | $67K |
| 2023 | 2,257 | $73K |
| 2024 | 1,065 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,435 | 1,226 | $67K | |
| 99213 | 2,302 | 1,933 | $60K | |
| 99212 | 727 | 613 | $14K | |
| 87426 | 290 | 254 | $11K | |
| 87651 | 225 | 215 | $10K | |
| 87428 | 148 | 142 | $10K | |
| 99202 | 276 | 243 | $8K | |
| U0004 | Cov-19 test non-cdc hgh thru | 58 | 56 | $5K |
| 99203 | 118 | 105 | $5K | |
| 87502 | 37 | 36 | $4K | |
| U0003 | Cov-19 amp prb hgh thruput | 32 | 32 | $3K |
| 87804 | 94 | 87 | $2K | |
| 0241U | 13 | 12 | $2K | |
| 87631 | 25 | 22 | $2K | |
| J1100 | Dexamethasone sodium phos | 65 | 57 | $1K |
| 36415 | 323 | 303 | $684.30 | |
| 81003 | 189 | 165 | $557.55 | |
| 71046 | 36 | 30 | $476.66 | |
| 87635 | 13 | 13 | $359.31 | |
| T1502 | Medication admin visit | 49 | 44 | $78.58 |