Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LATIMER COUNTY HOSPITAL AUTHORITY

NPI: 1053353631 · WILBURTON, OK 74578 · Rural Acute Care Hospital · NPI assigned 06/11/2006

$90K
Total Medicaid Paid
2,074
Total Claims
1,575
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialNIX, SUSAN (CEO)
NPI Enumeration Date06/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,074 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 979 587 $50K
99283 Emergency department visit for the evaluation and management, moderate severity 345 284 $35K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 93 93 $1K
80053 Comprehensive metabolic panel 122 119 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 75 74 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 127 126 $927.69
36415 Collection of venous blood by venipuncture 261 222 $632.74
71046 Radiologic examination, chest; 2 views 37 35 $535.78
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 35 $484.84