NPI: 1649681511 · BOONEVILLE, MS 38829 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,581 | $34K |
| 2019 | 954 | $28K |
| 2020 | 491 | $13K |
| 2021 | 62 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,768 | 1,472 | $54K | |
| 99214 | 398 | 371 | $21K | |
| 96372 | 309 | 253 | $3K | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 15 | 15 | $96.48 |
| J1100 | Dexamethasone sodium phos | 263 | 213 | $61.37 |
| 36415 | 28 | 25 | $44.85 | |
| 81002 | 24 | 15 | $33.14 | |
| J0696 | Ceftriaxone sodium injection | 30 | 27 | $21.11 |
| A4208 | 3 cc sterile syringe&needle | 253 | 205 | $0.00 |