NPI: 1932763836 · TEXARKANA, AR 71854 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 308 | $43K |
| 2022 | 503 | $78K |
| 2023 | 914 | $96K |
| 2024 | 313 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 1,710 | 1,364 | $251K |
| 87426 | 28 | 21 | $1K | |
| G2025 | Dis site tele svcs rhc/fqhc | 21 | 17 | $496.64 |
| G0467 | Fqhc visit, estab pt | 17 | 12 | $470.71 |
| 36415 | 196 | 177 | $225.00 | |
| 96372 | 12 | 12 | $33.36 | |
| Q3014 | Telehealth facility fee | 18 | 15 | $15.24 |
| 81003 | 21 | 16 | $10.78 | |
| 83036 | 15 | 13 | $0.00 |