ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
NPI: 1861451114
· JACKSONVILLE, AR 72076
· 282N00000X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,488 |
$121K |
| 2019 |
4,465 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
667 |
561 |
$34K |
| 80053 |
|
1,539 |
1,308 |
$26K |
| 70450 |
|
206 |
183 |
$20K |
| 85025 |
|
1,888 |
1,542 |
$12K |
| 93005 |
|
742 |
613 |
$9K |
| 80050 |
|
177 |
146 |
$7K |
| 87651 |
|
227 |
218 |
$6K |
| 87804 |
|
494 |
234 |
$5K |
| 84703 |
|
551 |
477 |
$5K |
| 84484 |
|
523 |
388 |
$4K |
| 87088 |
|
447 |
390 |
$4K |
| 81000 |
|
1,316 |
1,149 |
$4K |
| 80320 |
|
321 |
261 |
$3K |
| 71046 |
|
204 |
180 |
$3K |
| 82550 |
|
475 |
370 |
$3K |
| 74177 |
|
16 |
15 |
$2K |
| 99283 |
|
101 |
91 |
$2K |
| 71020 |
|
133 |
125 |
$2K |
| 80048 |
|
76 |
61 |
$1K |
| 71045 |
|
206 |
178 |
$1K |
| 87430 |
|
110 |
107 |
$1K |
| 82948 |
|
143 |
85 |
$659.13 |
| 83690 |
|
71 |
62 |
$511.68 |
| 71010 |
|
59 |
57 |
$504.00 |
| 82150 |
|
69 |
60 |
$463.00 |
| 73130 |
|
14 |
13 |
$373.72 |
| 36415 |
|
59 |
51 |
$326.08 |
| 84443 |
|
156 |
132 |
$276.72 |
| 80329 |
|
50 |
40 |
$226.38 |
| 94760 |
|
16 |
14 |
$224.00 |
| 99284 |
|
164 |
146 |
$191.60 |
| 87186 |
|
29 |
26 |
$181.28 |
| 99285 |
|
125 |
118 |
$132.74 |
| 74018 |
|
16 |
12 |
$114.36 |
| J1885 |
Ketorolac tromethamine inj |
246 |
226 |
$19.48 |
| J2270 |
Morphine sulfate injection |
14 |
12 |
$2.12 |
| J0696 |
Ceftriaxone sodium injection |
90 |
79 |
$0.00 |
| J7030 |
Normal saline solution infus |
115 |
97 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14 |
14 |
$0.00 |
| J2930 |
Methylprednisolone injection |
32 |
30 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
52 |
45 |
$0.00 |