NPI: 1841291150 · LITTLE ROCK, AR 72206 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 38 | $189.87 |
| 2021 | 501 | $4K |
| 2022 | 870 | $320.00 |
| 2023 | 556 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 112 | 110 | $1K | |
| 0031A | 39 | 35 | $760.00 | |
| 0012A | 87 | 87 | $628.39 | |
| 0001A | 51 | 49 | $553.88 | |
| 0002A | 34 | 32 | $400.00 | |
| 0064A | 12 | 12 | $320.00 | |
| G0008 | Admin influenza virus vac | 26 | 24 | $231.75 |
| 0013A | 80 | 80 | $200.00 | |
| 0003A | 19 | 18 | $80.00 | |
| 91301 | 53 | 52 | $0.48 | |
| 91303 | 22 | 18 | $0.19 | |
| 91300 | 16 | 15 | $0.14 | |
| K1034 | Covid test self-admn/collect | 1,414 | 1,407 | $0.00 |