NPI: 1881694685 · DONIPHAN, MO 63935 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,180 | $530K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,435 | 4,903 | $375K | |
| 90832 | 770 | 376 | $48K | |
| 99212 | 478 | 458 | $31K | |
| 99214 | 249 | 240 | $26K | |
| 99392 | 130 | 124 | $15K | |
| 99394 | 80 | 78 | $11K | |
| 99393 | 72 | 68 | $8K | |
| 99336 | 86 | 86 | $7K | |
| 90791 | 12 | 12 | $3K | |
| 99309 | 71 | 69 | $2K | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $2K |
| 99308 | 31 | 30 | $891.38 | |
| 99335 | 13 | 13 | $301.40 | |
| 36415 | 510 | 488 | $81.70 | |
| J1100 | Dexamethasone sodium phos | 12 | 12 | $0.00 |
| 96372 | 28 | 27 | $0.00 | |
| T1015 | Clinic service | 191 | 173 | $0.00 |