NPI: 1710944608 · FORT SMITH, AR 72901 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,074 | $58K |
| 2019 | 4,195 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,676 | 1,509 | $45K | |
| 99214 | 375 | 357 | $20K | |
| 99394 | 445 | 380 | $20K | |
| 99392 | 410 | 349 | $19K | |
| 99391 | 369 | 323 | $18K | |
| 99393 | 369 | 322 | $18K | |
| 87804 | 546 | 284 | $6K | |
| 99212 | 204 | 188 | $4K | |
| 87430 | 266 | 245 | $3K | |
| 90686 | 260 | 246 | $3K | |
| 83655 | 130 | 125 | $2K | |
| 90670 | 220 | 211 | $2K | |
| 90723 | 121 | 116 | $1K | |
| 90651 | 114 | 100 | $908.20 | |
| 90734 | 104 | 87 | $793.48 | |
| 87807 | 43 | 43 | $559.43 | |
| 90658 | 35 | 33 | $314.04 | |
| 90647 | 31 | 31 | $296.36 | |
| 85025 | 31 | 28 | $270.80 | |
| 90710 | 34 | 28 | $258.12 | |
| 90633 | 28 | 27 | $248.56 | |
| 90680 | 25 | 24 | $229.44 | |
| 90685 | 24 | 20 | $191.20 | |
| 90715 | 22 | 16 | $152.96 | |
| 90688 | 12 | 12 | $105.16 | |
| 90471 | 49 | 47 | $0.00 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 45 | 39 | $0.00 |
| 90460 | 217 | 203 | $0.00 | |
| 90472 | 64 | 59 | $0.00 |