GRAND PRAIRIE PEDIATRICS
NPI: 1043551591
· WARR ACRES, OK 73132
· Primary Care Clinic/Center
· NPI assigned 03/08/2013
$1.52M
Total Medicaid Paid
Provider Details
| Authorized Official | ZUBIALDE, JOHN (EXECUTIVE DEAN) |
| Parent Organization | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS |
| NPI Enumeration Date | 03/08/2013 |
Related Entities
Other providers sharing the same authorized official: ZUBIALDE, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,216 |
$407K |
| 2019 |
7,835 |
$483K |
| 2020 |
7,698 |
$414K |
| 2021 |
3,901 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,837 |
4,575 |
$470K |
| 99392 |
|
1,937 |
1,936 |
$264K |
| 99214 |
|
1,580 |
1,518 |
$212K |
| 99391 |
|
1,497 |
1,470 |
$190K |
| 99393 |
|
670 |
670 |
$98K |
| 90472 |
|
2,419 |
2,404 |
$74K |
| 90471 |
|
4,110 |
4,091 |
$73K |
| 96110 |
|
4,294 |
3,920 |
$53K |
| 87502 |
|
178 |
176 |
$15K |
| 99394 |
|
79 |
79 |
$13K |
| 92587 |
|
327 |
326 |
$9K |
| 87651 |
|
269 |
260 |
$9K |
| 90474 |
|
493 |
493 |
$9K |
| 96127 |
|
1,080 |
1,055 |
$8K |
| 90460 |
|
125 |
124 |
$6K |
| 92551 |
|
339 |
339 |
$5K |
| 87804 |
|
81 |
80 |
$2K |
| 87880 |
|
130 |
126 |
$2K |
| 99203 |
|
12 |
12 |
$1K |
| 96161 |
|
212 |
210 |
$1K |
| 99173 |
|
239 |
239 |
$901.54 |
| 99212 |
|
13 |
13 |
$545.60 |
| 99188 |
|
41 |
41 |
$449.05 |
| 99211 |
|
13 |
13 |
$336.81 |
| 90680 |
|
127 |
127 |
$0.00 |
| 90698 |
|
322 |
322 |
$0.00 |
| 90696 |
|
54 |
54 |
$0.00 |
| 90744 |
|
60 |
60 |
$0.00 |
| 90686 |
|
527 |
527 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90633 |
|
161 |
161 |
$0.00 |
| 90670 |
|
316 |
316 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90710 |
|
43 |
43 |
$0.00 |