CLAREMORE INDIAN HOSPITAL
NPI: 1073527842
· CLAREMORE, OK 74017
· Clinic/Center
· NPI assigned 07/28/2006
$3.90M
Total Medicaid Paid
Provider Details
| Authorized Official | VALLIERE, GEORGE (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 07/28/2006 |
Related Entities
Other providers sharing the same authorized official: VALLIERE, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
727 |
$196K |
| 2019 |
599 |
$240K |
| 2020 |
389 |
$141K |
| 2021 |
947 |
$406K |
| 2022 |
1,507 |
$947K |
| 2023 |
1,898 |
$1.23M |
| 2024 |
1,031 |
$741K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,307 |
5,884 |
$3.83M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
738 |
624 |
$65K |
| D9999 |
Unspecified adjunctive procedure, by report |
12 |
12 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$791.96 |
| 99442 |
|
15 |
15 |
$789.18 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$422.67 |