FORT SMITH HMA PBC MANAGEMENT, LLC
NPI: 1477888907
· FORT SMITH, AR 72901
· 207RP1001X
$1.34M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46,059 |
$1.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
12,684 |
10,075 |
$434K |
| 99213 |
|
8,085 |
6,652 |
$184K |
| 59400 |
|
203 |
141 |
$171K |
| 99232 |
|
4,841 |
1,322 |
$93K |
| 43239 |
|
511 |
466 |
$51K |
| 45385 |
|
200 |
188 |
$31K |
| 93306 |
|
991 |
716 |
$30K |
| 99204 |
|
452 |
387 |
$23K |
| 99212 |
|
1,601 |
1,158 |
$21K |
| 99291 |
|
239 |
86 |
$19K |
| 87804 |
|
2,259 |
1,028 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
577 |
280 |
$18K |
| 43248 |
|
244 |
228 |
$18K |
| 99392 |
|
331 |
325 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
299 |
270 |
$17K |
| 76805 |
|
334 |
258 |
$16K |
| 99203 |
|
572 |
468 |
$15K |
| 59425 |
|
99 |
87 |
$13K |
| 90961 |
|
423 |
375 |
$13K |
| 99222 |
|
328 |
294 |
$12K |
| 87880 |
|
1,077 |
963 |
$12K |
| 59426 |
|
38 |
28 |
$12K |
| 99215 |
Prolong outpt/office vis |
231 |
193 |
$11K |
| 93000 |
|
2,039 |
1,618 |
$11K |
| 99393 |
|
187 |
182 |
$10K |
| 99231 |
|
728 |
332 |
$9K |
| 69436 |
|
50 |
50 |
$8K |
| 99391 |
|
126 |
125 |
$7K |
| 45378 |
|
30 |
27 |
$5K |
| 45380 |
|
28 |
27 |
$4K |
| 99221 |
|
128 |
113 |
$4K |
| 42820 |
|
15 |
13 |
$3K |
| 99394 |
|
49 |
48 |
$3K |
| 90962 |
|
83 |
65 |
$3K |
| 36415 |
|
2,626 |
2,013 |
$2K |
| 85025 |
|
529 |
376 |
$2K |
| 94060 |
|
166 |
120 |
$2K |
| 99202 |
|
271 |
77 |
$2K |
| 78452 |
|
74 |
44 |
$2K |
| 31575 |
|
33 |
33 |
$1K |
| G0179 |
Md recertification hha pt |
186 |
186 |
$1K |
| 99238 |
|
40 |
39 |
$1K |
| 99308 |
|
71 |
71 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$974.12 |
| 99309 |
|
13 |
13 |
$860.72 |
| 30802 |
|
13 |
13 |
$850.55 |
| 87420 |
|
80 |
66 |
$849.42 |
| 71046 |
|
226 |
169 |
$765.09 |
| 90935 |
|
112 |
28 |
$744.37 |
| 83036 |
|
133 |
88 |
$638.02 |
| 74018 |
|
29 |
29 |
$547.02 |
| 76830 |
|
14 |
13 |
$539.38 |
| 94640 |
|
36 |
34 |
$453.12 |
| 93018 |
|
64 |
52 |
$349.33 |
| 76770 |
|
34 |
27 |
$336.78 |
| 73110 |
|
49 |
26 |
$306.37 |
| 92567 |
|
17 |
17 |
$119.70 |
| 94726 |
|
23 |
12 |
$69.37 |
| 94729 |
|
23 |
12 |
$67.88 |
| 82947 |
|
42 |
27 |
$44.80 |
| 93016 |
|
12 |
12 |
$42.66 |
| 81001 |
|
882 |
454 |
$41.12 |
| 81003 |
|
29 |
28 |
$32.00 |
| 90688 |
|
25 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
24 |
24 |
$0.00 |
| 90791 |
|
87 |
64 |
$0.00 |