HEARTLAND TRAVEL HEALTH SERVICES LLC
NPI: 1013277979
· OKLAHOMA CITY, OK 73112
· Health Maintenance Organization
· NPI assigned 05/24/2012
Provider Details
| Authorized Official | HAYMORE, BRET (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/24/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
567 |
$17K |
| 2022 |
147 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0064A |
|
157 |
157 |
$6K |
| 0004A |
|
97 |
97 |
$4K |
| 0071A |
|
84 |
84 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
161 |
$3K |
| 0001A |
|
34 |
34 |
$1K |
| 90674 |
|
56 |
56 |
$1K |
| 0124A |
|
23 |
23 |
$920.00 |
| 0072A |
|
19 |
19 |
$760.00 |
| 0002A |
|
17 |
17 |
$680.00 |
| 0011A |
|
14 |
14 |
$560.00 |
| 90686 |
|
52 |
52 |
$269.08 |