NPI: 1053997338 · PAULS VALLEY, OK 73075 · 163WW0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 491 | $78K |
| 2022 | 3,296 | $316K |
| 2023 | 6,336 | $549K |
| 2024 | 3,983 | $349K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 2,183 | 2,155 | $386K | |
| 99284 | 1,421 | 1,373 | $379K | |
| 80307 | 1,559 | 1,438 | $110K | |
| 99285 | 281 | 275 | $94K | |
| 99282 | 708 | 699 | $77K | |
| 96374 | 413 | 398 | $59K | |
| U0003 | Cov-19 amp prb hgh thruput | 334 | 333 | $24K |
| G0481 | Drug test def 8-14 classes | 336 | 312 | $23K |
| 96372 | 317 | 303 | $18K | |
| 80053 | 724 | 693 | $16K | |
| 87804 | 808 | 564 | $12K | |
| 36415 | 852 | 827 | $11K | |
| 87426 | 322 | 322 | $9K | |
| 96375 | 165 | 162 | $8K | |
| U0005 | Infec agen detec ampli probe | 322 | 321 | $8K |
| 96361 | 148 | 141 | $7K | |
| 87635 | 135 | 133 | $7K | |
| 96365 | 39 | 39 | $5K | |
| 85025 | 779 | 747 | $5K | |
| 74176 | 60 | 60 | $5K | |
| G2023 | Specimen collect covid-19 | 221 | 220 | $5K |
| 87880 | 260 | 260 | $4K | |
| 87811 | 102 | 100 | $4K | |
| 71045 | 263 | 255 | $4K | |
| 87636 | 18 | 17 | $2K | |
| 87798 | 68 | 38 | $2K | |
| 87481 | 47 | 29 | $1K | |
| 87641 | 40 | 39 | $1K | |
| 87500 | 40 | 39 | $1K | |
| 83874 | 54 | 52 | $685.06 | |
| 84484 | 54 | 52 | $661.21 | |
| 87420 | 53 | 52 | $646.61 | |
| 82553 | 54 | 52 | $612.33 | |
| 84512 | 54 | 52 | $525.86 | |
| 83605 | 51 | 50 | $514.50 | |
| 83735 | 87 | 83 | $494.51 | |
| 81003 | 191 | 190 | $344.77 | |
| 84100 | 81 | 77 | $331.47 | |
| 82550 | 53 | 51 | $329.63 | |
| 86403 | 12 | 12 | $112.86 | |
| 81025 | 14 | 14 | $107.24 | |
| 93005 | 16 | 14 | $87.04 | |
| 94761 | 114 | 112 | $15.05 | |
| J2405 | Ondansetron hcl injection | 34 | 34 | $3.15 |
| J7030 | Normal saline solution infus | 194 | 185 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 25 | 24 | $0.00 |