NPI: 1447609367 · BENTON, AR 72015 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,599 | $58K |
| 2019 | 4,161 | $67K |
| 2020 | 3,420 | $69K |
| 2021 | 6,376 | $106K |
| 2022 | 12,625 | $171K |
| 2023 | 7,619 | $179K |
| 2024 | 4,224 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 8,305 | 5,774 | $272K | |
| 99213 | 13,726 | 8,888 | $255K | |
| 99391 | 2,718 | 1,454 | $82K | |
| 99233 | Prolong inpt eval add15 m | 1,902 | 832 | $48K |
| 99392 | 372 | 290 | $16K | |
| 99223 | Prolong inpt eval add15 m | 305 | 196 | $13K |
| 93000 | 2,039 | 1,430 | $13K | |
| 11042 | 1,207 | 615 | $13K | |
| 99212 | 368 | 335 | $10K | |
| 99232 | 503 | 210 | $9K | |
| J1050 | Medroxyprogesterone acetate | 219 | 139 | $7K |
| 99203 | 283 | 168 | $7K | |
| 90671 | 463 | 351 | $4K | |
| 99204 | 246 | 103 | $4K | |
| 90677 | 314 | 306 | $4K | |
| 99222 | 76 | 49 | $3K | |
| 87428 | 248 | 128 | $3K | |
| 93306 | 77 | 65 | $3K | |
| 90697 | 193 | 153 | $2K | |
| 99238 | 68 | 49 | $2K | |
| 99401 | 108 | 79 | $2K | |
| 81025 | 412 | 214 | $1K | |
| 76830 | 15 | 14 | $1K | |
| 99460 | 83 | 13 | $1K | |
| 90686 | 186 | 88 | $1K | |
| 90681 | 113 | 93 | $1K | |
| 90661 | 66 | 65 | $896.10 | |
| 99402 | 46 | 14 | $752.03 | |
| 99239 | 29 | 25 | $364.96 | |
| 99202 | 27 | 24 | $290.54 | |
| 96127 | 240 | 172 | $279.27 | |
| 90630 | 18 | 12 | $275.77 | |
| 99220 | 45 | 29 | $242.24 | |
| 81002 | 203 | 89 | $216.30 | |
| 90670 | 164 | 61 | $210.24 | |
| 36415 | 161 | 119 | $189.12 | |
| 90698 | 112 | 46 | $185.40 | |
| 87426 | 139 | 28 | $137.95 | |
| 85018 | 38 | 24 | $57.63 | |
| 90461 | 1,913 | 487 | $0.00 | |
| 90460 | 1,455 | 676 | $0.00 | |
| 1159F | 366 | 276 | $0.00 | |
| 1160F | 728 | 567 | $0.00 | |
| 3078F | 195 | 146 | $0.00 | |
| 81003 | 313 | 188 | $0.00 | |
| 3077F | 15 | 13 | $0.00 | |
| 83037 | 15 | 14 | $0.00 | |
| 3074F | 206 | 146 | $0.00 | |
| 1036F | 280 | 224 | $0.00 | |
| 3008F | 588 | 457 | $0.00 | |
| 36416 | 26 | 13 | $0.00 | |
| 3079F | 50 | 48 | $0.00 | |
| 99406 | 25 | 13 | $0.00 | |
| 3075F | 12 | 12 | $0.00 |