NPI: 1417407552 · PORT AUSTIN, MI 48467 · Private Vehicle · NPI assigned 10/13/2016
100% of spending on code A0100 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | CLARK, SARAH (OWNER) |
| NPI Enumeration Date | 10/13/2016 |
Other providers sharing the same authorized official: CLARK, SARAH
| Provider | City | State | Total Paid |
|---|---|---|---|
| SCALIA OTR/L, INC. | NORTH LITTLE ROCK | AR | $3.83M |
| BURNS RX LLC | MAMMOTH SPRING | AR | $3K |
| PALACE DRUG OF SALEM LLC | SALEM | AR | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,789 | $468K |
| 2019 | 13,564 | $1.29M |
| 2020 | 7,097 | $668K |
| 2021 | 6,341 | $578K |
| 2022 | 5,437 | $457K |
| 2023 | 3,134 | $269K |