Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEARTLAND TRAVEL HEALTH SERVICES LLC

NPI: 1013277979 · OKLAHOMA CITY, OK 73112 · Health Maintenance Organization · NPI assigned 05/24/2012

$22K
Total Medicaid Paid
714
Total Claims
714
Beneficiaries
11
Codes Billed
2021-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialHAYMORE, BRET (MEDICAL DIRECTOR)
NPI Enumeration Date05/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 567 $17K
2022 147 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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