NPI: 1629495452 · INDIANOLA, MS 38751 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 561 | $41K |
| 2019 | 286 | $27K |
| 2020 | 172 | $8K |
| 2021 | 71 | $3K |
| 2022 | 100 | $3K |
| 2023 | 31 | $3K |
| 2024 | 106 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 414 | 386 | $40K | |
| 99212 | 246 | 213 | $26K | |
| 99213 | 171 | 153 | $16K | |
| 99201 | 33 | 33 | $4K | |
| G0467 | Fqhc visit, estab pt | 255 | 209 | $3K |
| 99202 | 57 | 37 | $2K | |
| 99382 | 19 | 17 | $1K | |
| 85018 | 21 | 19 | $0.00 | |
| 87635 | 19 | 14 | $0.00 | |
| 90630 | 13 | 13 | $0.00 | |
| G0466 | Fqhc visit new patient | 43 | 25 | $0.00 |
| 99173 | 21 | 19 | $0.00 | |
| 91300 | 15 | 15 | $0.00 |