NPI: 1629651955 · MONTICELLO, AR 71655 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 175 | $2K |
| 2022 | 11,389 | $99K |
| 2023 | 21,204 | $177K |
| 2024 | 10,437 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,692 | 2,124 | $126K | |
| 87428 | 2,067 | 1,611 | $106K | |
| 99213 | 3,659 | 2,697 | $100K | |
| 87430 | 1,911 | 1,484 | $17K | |
| 99203 | 302 | 235 | $13K | |
| 99204 | 165 | 138 | $10K | |
| 87426 | 217 | 162 | $6K | |
| J0696 | Ceftriaxone sodium injection | 382 | 294 | $6K |
| 87807 | 296 | 236 | $3K | |
| 85025 | 349 | 266 | $2K | |
| 87400 | 287 | 113 | $1K | |
| 83036 | 209 | 175 | $1K | |
| 85027 | 218 | 179 | $838.20 | |
| 71046 | 20 | 16 | $491.82 | |
| 74018 | 15 | 12 | $376.08 | |
| 81025 | 74 | 56 | $367.89 | |
| 96127 | 305 | 249 | $354.84 | |
| 36415 | 510 | 419 | $340.84 | |
| J3301 | Triamcinolone acet inj nos | 151 | 126 | $233.48 |
| 99211 | 22 | 12 | $229.46 | |
| 99188 | 18 | 14 | $229.40 | |
| 99173 | 15 | 12 | $221.00 | |
| J1885 | Ketorolac tromethamine inj | 41 | 29 | $176.28 |
| 81003 | 355 | 283 | $108.80 | |
| 3074F | 3,888 | 2,748 | $20.00 | |
| 3078F | 3,481 | 2,505 | $20.00 | |
| 96372 | 124 | 69 | $11.05 | |
| 3080F | 176 | 127 | $10.00 | |
| 3077F | 414 | 307 | $10.00 | |
| 1036F | 3,056 | 2,011 | $0.00 | |
| 3008F | 4,972 | 3,543 | $0.00 | |
| 1034F | 458 | 318 | $0.00 | |
| 3075F | 465 | 382 | $0.00 | |
| 99000 | 666 | 517 | $0.00 | |
| 3079F | 1,209 | 936 | $0.00 | |
| 1035F | 54 | 39 | $0.00 | |
| 1159F | 4,814 | 3,191 | $0.00 | |
| 1160F | 4,813 | 3,192 | $0.00 | |
| 3725F | 335 | 274 | $0.00 |