NPI: 1831710623 · PONTOTOC, MS 38863 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,491 | $17K |
| 2021 | 4,932 | $105K |
| 2022 | 4,182 | $109K |
| 2023 | 2,643 | $97K |
| 2024 | 1,848 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,277 | 4,893 | $243K | |
| 99213 | 2,238 | 2,009 | $93K | |
| 99308 | 1,213 | 750 | $13K | |
| 80305 | 2,168 | 2,084 | $11K | |
| 99309 | 735 | 556 | $11K | |
| 94690 | 604 | 586 | $8K | |
| 94375 | 603 | 585 | $7K | |
| 87811 | 142 | 126 | $3K | |
| 94200 | 603 | 585 | $3K | |
| 36415 | 695 | 683 | $733.70 | |
| 99212 | 66 | 59 | $640.72 | |
| 99318 | 19 | 19 | $558.70 | |
| 99203 | 13 | 13 | $515.43 | |
| 90674 | 34 | 34 | $253.17 | |
| 99307 | 29 | 27 | $219.70 | |
| 96372 | 90 | 83 | $116.64 | |
| 90756 | 19 | 19 | $79.98 | |
| J1885 | Ketorolac tromethamine inj | 341 | 306 | $52.08 |
| J1030 | Methylprednisolone 40 mg inj | 32 | 29 | $21.18 |
| 90471 | 26 | 26 | $17.52 | |
| J1100 | Dexamethasone sodium phos | 121 | 111 | $6.60 |
| J3420 | Vitamin b12 injection | 12 | 12 | $5.45 |
| J0696 | Ceftriaxone sodium injection | 16 | 15 | $3.18 |