NPI: 1811460678 · FORT PAYNE, AL 35967 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 71 | $2K |
| 2019 | 4,012 | $102K |
| 2020 | 4,270 | $182K |
| 2021 | 7,335 | $352K |
| 2022 | 6,966 | $291K |
| 2023 | 8,104 | $265K |
| 2024 | 6,197 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 8,614 | 6,317 | $1.05M |
| 99214 | 5,885 | 4,748 | $120K | |
| 99213 | 5,687 | 4,183 | $104K | |
| 87804 | 1,675 | 1,009 | $21K | |
| 99203 | 409 | 332 | $18K | |
| 87880 | 1,527 | 1,247 | $17K | |
| 87811 | 685 | 543 | $15K | |
| 99238 | 223 | 204 | $11K | |
| 99460 | 179 | 160 | $10K | |
| 87633 | 29 | 27 | $6K | |
| 99391 | 157 | 129 | $5K | |
| 96372 | 514 | 395 | $4K | |
| G2023 | Specimen collect covid-19 | 165 | 144 | $2K |
| 99392 | 39 | 37 | $2K | |
| 99462 | 66 | 56 | $2K | |
| 96110 | 302 | 256 | $2K | |
| 36416 | 634 | 561 | $1K | |
| 90700 | 182 | 143 | $1K | |
| 94640 | 139 | 112 | $936.00 | |
| 87635 | 24 | 16 | $566.93 | |
| 99001 | 165 | 144 | $504.00 | |
| 90647 | 80 | 63 | $488.00 | |
| 90670 | 75 | 54 | $424.00 | |
| 90713 | 65 | 55 | $424.00 | |
| 99173 | 180 | 164 | $330.00 | |
| 99204 | 29 | 24 | $318.48 | |
| 83655 | 15 | 14 | $210.00 | |
| J0696 | Ceftriaxone sodium injection | 144 | 113 | $189.66 |
| 92552 | 15 | 14 | $154.00 | |
| 87807 | 13 | 13 | $134.10 | |
| 90686 | 19 | 13 | $110.06 | |
| 85018 | 177 | 161 | $48.00 | |
| 36415 | 33 | 24 | $42.00 | |
| J3301 | Triamcinolone acet inj nos | 22 | 12 | $30.86 |
| 90471 | 111 | 102 | $26.00 | |
| J1100 | Dexamethasone sodium phos | 132 | 103 | $21.98 |
| J7626 | Budesonide non-comp unit | 96 | 80 | $0.38 |
| 3078F | 1,352 | 1,177 | $0.00 | |
| 90472 | 26 | 24 | $0.00 | |
| 87652 | 164 | 131 | $0.00 | |
| 3008F | 3,702 | 3,015 | $0.00 | |
| 3044F | 436 | 355 | $0.00 | |
| 3079F | 364 | 313 | $0.00 | |
| 3074F | 1,674 | 1,452 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 258 | 140 | $0.00 |
| J7620 | Albuterol ipratrop non-comp | 88 | 70 | $0.00 |
| Q3014 | Telehealth facility fee | 218 | 136 | $0.00 |
| 94761 | 104 | 83 | $0.00 | |
| 87650 | 35 | 30 | $0.00 | |
| 96112 | 28 | 21 | $0.00 |