NPI: 1548879752 · PINE BLUFF, AR 71603 · 207LP2900X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 911 | $8K |
| 2022 | 836 | $8K |
| 2023 | 761 | $81K |
| 2024 | 286 | $632.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 64636 | 54 | 25 | $44K | |
| 64635 | 82 | 40 | $34K | |
| 99214 | 395 | 248 | $9K | |
| 77002 | 119 | 68 | $3K | |
| 20610 | 104 | 56 | $3K | |
| 99204 | 113 | 54 | $3K | |
| 64493 | 18 | 12 | $2K | |
| 64494 | 18 | 12 | $644.00 | |
| J1100 | Dexamethasone sodium phos | 265 | 163 | $185.34 |
| 80305 | 125 | 52 | $60.17 | |
| J0702 | Betamethasone acet&sod phosp | 1,366 | 712 | $58.13 |
| Q9966 | Locm 200-299mg/ml iodine,1ml | 135 | 79 | $0.24 |