Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › LAWTON › WICHITA MEDICAL ANESTHESIA LLC

WICHITA MEDICAL ANESTHESIA LLC

NPI: 1083222137 · LAWTON, OK 73505 · Certified Registered Nurse Anesthetist · NPI assigned 07/15/2020

$21K
Total Medicaid Paid
118
Total Claims
118
Beneficiaries
2
Codes Billed
2020-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialROSS, STARLA (ADMINISTRATOR)
NPI Enumeration Date07/15/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $3K
2021 12 $2K
2022 53 $8K
2023 40 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00126 90 90 $14K
00170 Anesthesia for intraoral procedures, including biopsy 28 28 $6K