SALEM FAMILY PRACTICE CLINIC,PA
NPI: 1578591129
· BENTON, AR 72019
· 261Q00000X
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,114 |
$45K |
| 2019 |
1,009 |
$39K |
| 2020 |
784 |
$23K |
| 2021 |
611 |
$21K |
| 2022 |
496 |
$13K |
| 2023 |
321 |
$10K |
| 2024 |
127 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,973 |
2,600 |
$81K |
| 99214 |
|
1,404 |
1,286 |
$73K |
| 99204 |
|
13 |
12 |
$882.81 |
| 90756 |
|
15 |
14 |
$159.53 |
| 81002 |
|
57 |
54 |
$113.64 |