EASTSIDE CLINIC
NPI: 1023295193
· TAHLEQUAH, OK 74464
· Family Medicine Physician
· NPI assigned 01/30/2008
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | SERATT, JAMES (OWNER/DOCTOR) |
| Parent Organization | EASTSIDE CLINIC |
| NPI Enumeration Date | 01/30/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,341 |
$20K |
| 2019 |
1,514 |
$23K |
| 2020 |
1,539 |
$24K |
| 2021 |
1,069 |
$19K |
| 2022 |
963 |
$18K |
| 2023 |
1,004 |
$23K |
| 2024 |
766 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,992 |
4,949 |
$127K |
| 99490 |
Ccm add 20min |
1,991 |
1,988 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
106 |
$3K |
| 99496 |
|
65 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
24 |
$887.17 |