NPI: 1871599613 · WEST MEMPHIS, AR 72301 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,842 | $994K |
| 2019 | 11,283 | $1.07M |
| 2020 | 11,660 | $1.01M |
| 2021 | 14,183 | $1.34M |
| 2022 | 16,336 | $1.59M |
| 2023 | 16,162 | $1.88M |
| 2024 | 14,611 | $1.77M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 37,896 | 32,529 | $8.80M |
| G0467 | Fqhc visit, estab pt | 21,209 | 17,997 | $281K |
| 99213 | 12,201 | 10,846 | $142K | |
| 99214 | 6,206 | 5,603 | $127K | |
| 99402 | 927 | 862 | $57K | |
| 99391 | 1,051 | 957 | $55K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 4,223 | 3,951 | $51K |
| 99392 | 866 | 797 | $43K | |
| G2025 | Dis site tele svcs rhc/fqhc | 427 | 375 | $32K |
| 99393 | 424 | 367 | $19K | |
| 99394 | 178 | 154 | $8K | |
| 0001A | 59 | 48 | $3K | |
| 0002A | 49 | 39 | $3K | |
| 0011A | 327 | 323 | $3K | |
| 90677 | 135 | 129 | $2K | |
| G0439 | Ppps, subseq visit | 1,184 | 1,055 | $2K |
| G0470 | Fqhc visit, mh estab pt | 238 | 149 | $2K |
| 92012 | 309 | 247 | $1K | |
| 0012A | 172 | 170 | $1K | |
| 90670 | 94 | 88 | $1K | |
| 0031A | 94 | 92 | $875.61 | |
| 90480 | 43 | 41 | $640.00 | |
| 90680 | 52 | 49 | $630.72 | |
| 90686 | 47 | 44 | $601.14 | |
| G0466 | Fqhc visit new patient | 12 | 12 | $429.30 |
| 90697 | 24 | 24 | $345.00 | |
| 91322 | 16 | 15 | $323.30 | |
| 0134A | 15 | 15 | $280.00 | |
| 90633 | 18 | 16 | $210.24 | |
| 90698 | 12 | 12 | $165.00 | |
| 90744 | 15 | 13 | $157.68 | |
| 1159F | 983 | 763 | $126.23 | |
| 81025 | 17 | 17 | $92.46 | |
| G0468 | Fqhc visit, ippe or awv | 1,270 | 1,139 | $69.90 |
| 90656 | 16 | 15 | $26.24 | |
| 81003 | 185 | 163 | $20.94 | |
| 87880 | 24 | 24 | $16.48 | |
| J1885 | Ketorolac tromethamine inj | 526 | 475 | $16.32 |
| G0008 | Admin influenza virus vac | 18 | 15 | $15.45 |
| 81001 | 93 | 76 | $4.47 | |
| 83036 | 71 | 68 | $2.32 | |
| 85027 | 85 | 84 | $1.49 | |
| 91300 | 142 | 111 | $0.99 | |
| 91301 | 27 | 24 | $0.17 | |
| 1160F | 956 | 736 | $0.04 | |
| 3078F | 470 | 424 | $0.03 | |
| 1126F | 384 | 297 | $0.02 | |
| 3074F | 292 | 265 | $0.02 | |
| 3077F | 73 | 68 | $0.01 | |
| 3044F | 313 | 288 | $0.00 | |
| 90471 | 45 | 43 | $0.00 | |
| 3075F | 32 | 30 | $0.00 | |
| 96372 | 46 | 25 | $0.00 | |
| 1125F | 34 | 32 | $0.00 | |
| J1094 | Inj dexamethasone acetate | 12 | 12 | $0.00 |
| 3079F | 44 | 42 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 13 | 12 | $0.00 |
| J1020 | Methylprednisolone 20 mg inj | 43 | 43 | $0.00 |
| 87804 | 53 | 25 | $0.00 | |
| 99212 | 148 | 139 | $0.00 | |
| 82947 | 69 | 63 | $0.00 | |
| 92014 | 57 | 57 | $0.00 | |
| 90473 | 13 | 13 | $0.00 |