Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › PONCA CITY › EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.

EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.

NPI: 1043382484 · PONCA CITY, OK 74601 · Community/Behavioral Health Agency · NPI assigned 11/14/2006

$22K
Total Medicaid Paid
366
Total Claims
343
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialDANIELS, MISTY (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: DANIELS, MISTY

ProviderCityStateTotal Paid
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. PONCA CITY OK $773K
EDWIN FAIR CMHC PONCA CITY OK $188K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 366 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 338 316 $20K
99214 28 27 $2K