NPI: 1760963516 · JACKSONVILLE, AR 72076 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 602 | $69K |
| 2019 | 3,821 | $428K |
| 2020 | 3,243 | $405K |
| 2021 | 4,294 | $556K |
| 2022 | 4,501 | $530K |
| 2023 | 2,883 | $311K |
| 2024 | 1,423 | $182K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,713 | 11,888 | $2.40M |
| G0467 | Fqhc visit, estab pt | 1,866 | 1,313 | $39K |
| 87428 | 461 | 335 | $22K | |
| 87426 | 385 | 356 | $15K | |
| 99213 | 1,500 | 1,171 | $7K | |
| 90686 | 69 | 68 | $1K | |
| G2025 | Dis site tele svcs rhc/fqhc | 20 | 14 | $758.16 |
| 90619 | 32 | 28 | $260.44 | |
| 36415 | 541 | 487 | $148.64 | |
| 96372 | 109 | 101 | $32.00 | |
| 81025 | 12 | 12 | $27.09 | |
| 81003 | 165 | 150 | $18.03 | |
| 87880 | 308 | 290 | $0.01 | |
| 81002 | 138 | 129 | $0.00 | |
| 87804 | 179 | 173 | $0.00 | |
| 99214 | 163 | 100 | $0.00 | |
| 1000F | 21 | 17 | $0.00 | |
| 90694 | 13 | 13 | $0.00 | |
| T1014 | Telehealth transmit, per min | 13 | 12 | $0.00 |
| 1220F | 18 | 15 | $0.00 | |
| 83036 | 12 | 12 | $0.00 | |
| 99441 | 15 | 15 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 14 | 12 | $0.00 |