NPI: 1861622268 · VICKSBURG, MS 39183 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,198 | $693K |
| 2019 | 1,835 | $111K |
| 2020 | 1,292 | $67K |
| 2021 | 410 | $20K |
| 2022 | 1,540 | $12K |
| 2023 | 1,956 | $27K |
| 2024 | 924 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,216 | 5,782 | $601K | |
| 99214 | 3,029 | 2,651 | $188K | |
| 99391 | 426 | 415 | $52K | |
| 99392 | 418 | 367 | $46K | |
| 99394 | 193 | 167 | $20K | |
| 99393 | 133 | 113 | $13K | |
| G2025 | Dis site tele svcs rhc/fqhc | 263 | 217 | $6K |
| 90471 | 1,239 | 1,136 | $4K | |
| 90472 | 794 | 731 | $3K | |
| 96372 | 152 | 116 | $2K | |
| 99212 | 53 | 46 | $2K | |
| 87880 | 383 | 302 | $1K | |
| 99442 | 63 | 59 | $890.20 | |
| 87804 | 1,013 | 404 | $561.80 | |
| 92551 | 182 | 158 | $397.00 | |
| 96127 | 276 | 227 | $344.85 | |
| J0696 | Ceftriaxone sodium injection | 17 | 13 | $184.82 |
| 3078F | 543 | 472 | $143.42 | |
| 99173 | 198 | 173 | $93.20 | |
| G2211 | Complex e/m visit add on | 13 | 12 | $62.06 |
| 90474 | 39 | 39 | $30.00 | |
| 90685 | 30 | 29 | $21.81 | |
| 90686 | 91 | 90 | $19.03 | |
| 1159F | 361 | 304 | $0.00 | |
| 3077F | 68 | 63 | $0.00 | |
| 1160F | 362 | 305 | $0.00 | |
| 90633 | 45 | 45 | $0.00 | |
| 90670 | 71 | 70 | $0.00 | |
| 90734 | 13 | 12 | $0.00 | |
| 71046 | 20 | 14 | $0.00 | |
| 3079F | 238 | 215 | $0.00 | |
| 1036F | 116 | 111 | $0.00 | |
| 3008F | 1,364 | 1,156 | $0.00 | |
| 90698 | 74 | 72 | $0.00 | |
| 3074F | 559 | 496 | $0.00 | |
| 3075F | 15 | 13 | $0.00 | |
| 3080F | 13 | 12 | $0.00 | |
| 90651 | 46 | 46 | $0.00 | |
| 90688 | 13 | 13 | $0.00 | |
| 87807 | 13 | 12 | $0.00 |