NPI: 1629035043 · JACKSONVILLE, AR 72076 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,320 | $622K |
| 2019 | 11,524 | $520K |
| 2020 | 4,877 | $142K |
| 2021 | 4,806 | $105K |
| 2022 | 5,712 | $94K |
| 2023 | 261 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90853 | 23,172 | 6,658 | $619K | |
| 90837 | 3,300 | 2,121 | $250K | |
| H0004 | Alcohol and/or drug services | 1,409 | 1,066 | $120K |
| H2015 | Comp comm supp svc, 15 min | 1,773 | 919 | $100K |
| 90792 | 1,268 | 1,083 | $99K | |
| 90885 | 1,504 | 1,330 | $75K | |
| 99214 | 1,692 | 1,469 | $58K | |
| S0220 | Medical conference by physic | 1,066 | 642 | $53K |
| H2017 | Psysoc rehab svc, per 15 min | 1,446 | 432 | $35K |
| 90834 | 573 | 434 | $34K | |
| 90832 | 873 | 608 | $17K | |
| 90887 | 298 | 197 | $16K | |
| 90791 | 54 | 48 | $10K | |
| 99213 | 56 | 50 | $1K | |
| T2020 | Day habil waiver per diem | 16 | 12 | $116.20 |