NPI: 1538293022 · WYNNE, AR 72396 · Preferred Provider Organization · NPI assigned 03/15/2007
| Authorized Official | MCCAMMON, OLA (DIRECTOR) |
| NPI Enumeration Date | 03/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,669 | $338K |
| 2019 | 3,245 | $457K |
| 2020 | 2,922 | $348K |
| 2021 | 3,281 | $387K |
| 2022 | 3,833 | $351K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 15,743 | 2,062 | $1.72M |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 2,139 | 219 | $159K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 47 | 47 | $5K |
| T1027 | Family training and counseling for child development, per 15 minutes | 21 | 14 | $157.50 |