NPI: 1598192080 · GULFPORT, MS 39507 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,437 | $76K |
| 2019 | 3,310 | $70K |
| 2020 | 710 | $21K |
| 2021 | 1,982 | $69K |
| 2022 | 4,386 | $114K |
| 2023 | 2,823 | $77K |
| 2024 | 2,416 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,359 | 8,702 | $255K | |
| 99214 | 6,674 | 5,940 | $191K | |
| 99215 | Prolong outpt/office vis | 437 | 363 | $12K |
| 99391 | 93 | 91 | $7K | |
| 90472 | 227 | 211 | $3K | |
| 99490 | Ccm add 20min | 689 | 676 | $3K |
| 99203 | 113 | 92 | $3K | |
| 99202 | 75 | 56 | $2K | |
| 99204 | 45 | 39 | $2K | |
| 90471 | 175 | 155 | $1K | |
| D0145 | 12 | 12 | $465.46 | |
| 99212 | 25 | 21 | $392.54 | |
| 99309 | 30 | 30 | $388.72 | |
| 87428 | 126 | 106 | $335.55 | |
| G2211 | Complex e/m visit add on | 102 | 98 | $206.21 |
| 87804 | 372 | 282 | $192.19 | |
| 90473 | 42 | 39 | $129.86 | |
| 87880 | 144 | 123 | $88.65 | |
| G0439 | Ppps, subseq visit | 12 | 12 | $0.00 |
| 90686 | 17 | 13 | $0.00 | |
| 90723 | 42 | 38 | $0.00 | |
| 87426 | 30 | 25 | $0.00 | |
| 90680 | 55 | 51 | $0.00 | |
| G0008 | Admin influenza virus vac | 18 | 14 | $0.00 |
| 3074F | 14 | 14 | $0.00 | |
| 90694 | 14 | 12 | $0.00 | |
| 90648 | 76 | 65 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| 3078F | 18 | 18 | $0.00 | |
| 1159F | 15 | 15 | $0.00 |