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FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC
NPI: 1013917012
· CLINTON, OK 73601
· Podiatrist
· NPI assigned 08/01/2005
$183K
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, BRADLEY (PROVIDER/OWNER) |
| NPI Enumeration Date | 08/01/2005 |
Related Entities
Other providers sharing the same authorized official: NELSON, BRADLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
886 |
$16K |
| 2019 |
1,031 |
$19K |
| 2020 |
935 |
$18K |
| 2021 |
1,185 |
$34K |
| 2022 |
989 |
$32K |
| 2023 |
1,144 |
$44K |
| 2024 |
799 |
$19K |
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 |
1,782 |
1,664 |
$84K |
| 11056 |
|
2,234 |
2,234 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
407 |
407 |
$29K |
| 11721 |
|
2,464 |
2,464 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
56 |
41 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$731.03 |
| 73630 |
|
12 |
12 |
$219.06 |