NPI: 1689168643 · BENTON, AR 72015 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,581 | $158K |
| 2020 | 2,276 | $256K |
| 2021 | 2,078 | $265K |
| 2022 | 2,517 | $349K |
| 2023 | 3,761 | $356K |
| 2024 | 1,508 | $176K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 10,001 | 7,790 | $1.53M |
| 87428 | 563 | 276 | $16K | |
| G0467 | Fqhc visit, estab pt | 320 | 230 | $8K |
| 87426 | 80 | 75 | $3K | |
| 90686 | 140 | 111 | $1K | |
| 36415 | 1,186 | 1,086 | $642.00 | |
| 99214 | 122 | 100 | $197.30 | |
| Q3014 | Telehealth facility fee | 93 | 70 | $193.04 |
| 99213 | 54 | 48 | $147.95 | |
| G2025 | Dis site tele svcs rhc/fqhc | 18 | 13 | $116.64 |
| 90471 | 13 | 12 | $13.14 | |
| 83036 | 84 | 76 | $8.16 | |
| 81003 | 57 | 54 | $2.78 | |
| 99395 | 18 | 18 | $0.00 | |
| 87804 | 15 | 15 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 44 | 39 | $0.00 |
| 87880 | 34 | 32 | $0.00 | |
| 3078F | 146 | 136 | $0.00 | |
| 3077F | 36 | 34 | $0.00 | |
| 1159F | 168 | 157 | $0.00 | |
| 81002 | 44 | 39 | $0.00 | |
| 90674 | 17 | 16 | $0.00 | |
| 3074F | 236 | 218 | $0.00 | |
| 3079F | 85 | 78 | $0.00 | |
| T1014 | Telehealth transmit, per min | 29 | 27 | $0.00 |
| 90694 | 15 | 12 | $0.00 | |
| 85025 | 13 | 13 | $0.00 | |
| 3075F | 32 | 29 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 13 | 13 | $0.00 |
| 96372 | 14 | 13 | $0.00 | |
| 3080F | 19 | 19 | $0.00 | |
| J1030 | Methylprednisolone 40 mg inj | 12 | 12 | $0.00 |