SPINE CARE OF OKLAHOMA, LLC
NPI: 1033302906
· EDMOND, OK 73013
· Preferred Provider Organization
· NPI assigned 08/23/2007
$113K
Total Medicaid Paid
Provider Details
| Authorized Official | SHADID, EDWARD (BUSINESS OWNER) |
| NPI Enumeration Date | 08/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
144 |
$7K |
| 2022 |
793 |
$37K |
| 2023 |
764 |
$39K |
| 2024 |
558 |
$29K |
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 |
1,570 |
1,395 |
$90K |
| 99152 |
|
656 |
528 |
$20K |
| 99443 |
|
33 |
28 |
$2K |