NORTHEASTERN HEALTH SYSTEM
NPI: 1013458652
· FORT GIBSON, OK 74434
· Rural Health Clinic/Center
· NPI assigned 03/15/2017
$601K
Total Medicaid Paid
Provider Details
| Authorized Official | WARD, JULIE (CFO) |
| NPI Enumeration Date | 03/15/2017 |
Related Entities
Other providers sharing the same authorized official: WARD, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
56 |
$6K |
| 2022 |
1,661 |
$173K |
| 2023 |
2,376 |
$267K |
| 2024 |
1,380 |
$154K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,284 |
4,941 |
$578K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
88 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |