NPI: 1942889027 · MOUNTAIN HOME, AR 72653 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 400 | $32K |
| 2022 | 1,862 | $190K |
| 2023 | 1,901 | $229K |
| 2024 | 2,153 | $279K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,365 | 3,483 | $685K |
| G2025 | Dis site tele svcs rhc/fqhc | 449 | 353 | $26K |
| 87428 | 270 | 204 | $13K | |
| 87426 | 187 | 165 | $5K | |
| Q3014 | Telehealth facility fee | 14 | 14 | $30.48 |
| 1160F | 460 | 403 | $0.01 | |
| 4000F | 92 | 87 | $0.00 | |
| 1220F | 50 | 47 | $0.00 | |
| 1034F | 89 | 83 | $0.00 | |
| 1000F | 138 | 127 | $0.00 | |
| 3074F | 25 | 24 | $0.00 | |
| 1036F | 57 | 51 | $0.00 | |
| 87880 | 104 | 93 | $0.00 | |
| 1159F | 16 | 12 | $0.00 |