Medicaid Provider Spending

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

GREAT PLAINS PEDIATRICS, INC

NPI: 1063631562 · LAWTON, OK 73505 · Specialist · NPI assigned 04/24/2007

$32K
Total Medicaid Paid
1,252
Total Claims
1,094
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialLEGAKO, EDWARD (PRESIDENT)
NPI Enumeration Date04/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 623 $14K
2019 427 $13K
2020 185 $5K
2021 17 $471.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 938 806 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 206 187 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 96 89 $1K
54150 12 12 $1K