NPI: 1063935120 · MIDWEST CITY, OK 73130 · 293D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $2K |
| 2019 | 57 | $5K |
| 2020 | 203 | $21K |
| 2021 | 984 | $76K |
| 2022 | 2,271 | $163K |
| 2023 | 3,911 | $264K |
| 2024 | 1,398 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72148 | 2,876 | 1,770 | $237K | |
| 73721 | 1,505 | 810 | $137K | |
| 72141 | 1,006 | 596 | $79K | |
| 73221 | 707 | 394 | $61K | |
| 70551 | 229 | 132 | $19K | |
| 76830 | 349 | 186 | $18K | |
| 76705 | 429 | 227 | $17K | |
| 76536 | 301 | 158 | $15K | |
| 74176 | 154 | 85 | $12K | |
| 71250 | 221 | 145 | $11K | |
| 76700 | 133 | 78 | $7K | |
| 72131 | 90 | 53 | $5K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 417 | 406 | $5K |
| 72146 | 46 | 25 | $4K | |
| 72100 | 152 | 81 | $3K | |
| 76856 | 25 | 13 | $1K | |
| 73562 | 25 | 12 | $435.06 | |
| 72040 | 22 | 12 | $378.42 | |
| A9575 | Inj gadoterate meglumi 0.1ml | 150 | 119 | $45.50 |