NPI: 1689112021 · GREENVILLE, MS 38703 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,887 | $26K |
| 2019 | 431 | $5K |
| 2020 | 480 | $1K |
| 2021 | 270 | $437.93 |
| 2022 | 2,653 | $43K |
| 2023 | 3,692 | $45K |
| 2024 | 716 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,723 | 275 | $124K | |
| 83970 | 343 | 241 | $1K | |
| 82728 | 149 | 111 | $190.70 | |
| 83540 | 351 | 252 | $182.48 | |
| 85025 | 316 | 229 | $170.18 | |
| 82108 | 65 | 49 | $169.86 | |
| 84155 | 351 | 253 | $103.50 | |
| 83550 | 299 | 204 | $94.44 | |
| 83735 | 160 | 111 | $91.47 | |
| 84075 | 149 | 111 | $70.69 | |
| 82607 | 43 | 25 | $40.71 | |
| 82746 | 22 | 12 | $39.69 | |
| 87340 | 43 | 25 | $27.90 | |
| 90686 | 21 | 12 | $20.53 | |
| 85046 | 52 | 37 | $10.02 | |
| G0008 | Admin influenza virus vac | 21 | 12 | $0.00 |
| 86706 | 21 | 13 | $0.00 |