DARDANELLE REGIONAL, LLC
NPI: 1730737131
· DARDANELLE, AR 72834
· 207Q00000X
$247K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,775 |
$21K |
| 2020 |
2,308 |
$60K |
| 2021 |
1,726 |
$46K |
| 2022 |
188 |
$3K |
| 2023 |
7,298 |
$62K |
| 2024 |
6,259 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,941 |
3,359 |
$174K |
| 99213 |
|
2,592 |
2,187 |
$64K |
| 36415 |
|
1,585 |
1,399 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$944.00 |
| 87428 |
|
16 |
13 |
$737.10 |
| 99203 |
|
17 |
13 |
$629.00 |
| G0439 |
Ppps, subseq visit |
14 |
12 |
$563.03 |
| 99212 |
|
24 |
20 |
$426.75 |
| 80061 |
|
251 |
212 |
$363.20 |
| 85025 |
|
356 |
300 |
$244.20 |
| 80053 |
|
300 |
256 |
$241.60 |
| 84443 |
|
111 |
97 |
$191.84 |
| G2012 |
Brief check in by md/qhp |
17 |
16 |
$186.62 |
| 87430 |
|
15 |
15 |
$155.22 |
| 90686 |
|
17 |
16 |
$141.57 |
| G0008 |
Admin influenza virus vac |
22 |
12 |
$123.60 |
| 3074F |
|
1,686 |
1,510 |
$110.00 |
| 3078F |
|
1,498 |
1,336 |
$100.00 |
| 86710 |
|
74 |
61 |
$97.38 |
| 87804 |
|
74 |
61 |
$62.62 |
| 81003 |
|
230 |
191 |
$58.00 |
| 87880 |
|
83 |
69 |
$51.48 |
| 83036 |
|
20 |
15 |
$41.61 |
| 87081 |
|
47 |
40 |
$28.41 |
| 3079F |
|
221 |
204 |
$20.00 |
| 1220F |
|
2,440 |
2,158 |
$0.00 |
| 1123F |
|
17 |
17 |
$0.00 |
| 1126F |
|
489 |
443 |
$0.00 |
| 3075F |
|
113 |
95 |
$0.00 |
| 1160F |
|
2,464 |
2,184 |
$0.00 |
| 1124F |
|
489 |
424 |
$0.00 |
| 1159F |
|
297 |
258 |
$0.00 |
| G0444 |
Depression screen annual |
21 |
17 |
$0.00 |