NPI: 1972730919 · WHITE HALL, AR 71602 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,712 | $215K |
| 2019 | 9,977 | $320K |
| 2020 | 7,272 | $263K |
| 2021 | 841 | $23K |
| 2022 | 835 | $28K |
| 2023 | 420 | $14K |
| 2024 | 304 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 11,270 | 9,294 | $341K | |
| 87502 | 2,198 | 2,011 | $236K | |
| 87651 | 2,002 | 1,840 | $91K | |
| 99214 | 1,865 | 1,638 | $78K | |
| 87801 | 322 | 305 | $16K | |
| 99392 | 358 | 319 | $15K | |
| 99391 | 237 | 212 | $12K | |
| 99202 | 314 | 282 | $11K | |
| 99393 | 242 | 226 | $10K | |
| 99394 | 214 | 193 | $8K | |
| 87804 | 621 | 305 | $7K | |
| 87426 | 224 | 165 | $6K | |
| 87880 | 475 | 453 | $5K | |
| 90686 | 512 | 490 | $4K | |
| 85025 | 575 | 529 | $4K | |
| 71046 | 218 | 181 | $3K | |
| 90670 | 244 | 225 | $2K | |
| 99490 | Ccm add 20min | 354 | 325 | $2K |
| J1030 | Methylprednisolone 40 mg inj | 785 | 682 | $2K |
| 90647 | 207 | 193 | $2K | |
| J1100 | Dexamethasone sodium phos | 919 | 801 | $2K |
| 81003 | 678 | 590 | $1K | |
| 90633 | 158 | 146 | $1K | |
| 84443 | 80 | 74 | $992.28 | |
| 90723 | 110 | 100 | $936.88 | |
| U0003 | Cov-19 amp prb hgh thruput | 34 | 33 | $920.75 |
| 84480 | 81 | 75 | $887.18 | |
| 90734 | 104 | 97 | $860.40 | |
| 80061 | 119 | 109 | $824.97 | |
| T1502 | Medication admin visit | 608 | 537 | $795.20 |
| 96372 | 460 | 395 | $768.32 | |
| 80053 | 72 | 68 | $606.02 | |
| 84439 | 81 | 75 | $564.92 | |
| 99211 | 59 | 53 | $564.05 | |
| 90649 | 55 | 51 | $439.76 | |
| 90685 | 47 | 40 | $325.04 | |
| 90700 | 31 | 31 | $267.68 | |
| 87635 | 12 | 12 | $233.70 | |
| 90710 | 25 | 25 | $210.32 | |
| 82962 | 121 | 106 | $201.88 | |
| G0008 | Admin influenza virus vac | 40 | 37 | $185.40 |
| 90715 | 16 | 14 | $133.84 | |
| 90713 | 12 | 12 | $114.72 | |
| J0696 | Ceftriaxone sodium injection | 15 | 13 | $112.00 |
| 3078F | 86 | 74 | $0.00 | |
| 3074F | 87 | 77 | $0.00 | |
| 90471 | 14 | 14 | $0.00 |