NPI: 1760927404 · CONWAY, AR 72032 · 207LP2900X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,838 | $37K |
| 2019 | 2,388 | $44K |
| 2020 | 665 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,249 | 1,841 | $69K | |
| 99204 | 647 | 457 | $24K | |
| 99152 | 466 | 295 | $8K | |
| 99213 | 99 | 93 | $2K | |
| J2250 | Inj midazolam hydrochloride | 542 | 330 | $126.87 |
| J1030 | Methylprednisolone 40 mg inj | 366 | 223 | $37.40 |
| J3010 | Fentanyl citrate injection | 461 | 282 | $24.45 |
| T1502 | Medication admin visit | 23 | 12 | $19.20 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 38 | 30 | $1.39 |