Medicaid Provider Spending

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

SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC

NPI: 1083280622 · PAULS VALLEY, OK 73075 · Emergency Medicine Physician · NPI assigned 06/03/2021

$333K
Total Medicaid Paid
5,565
Total Claims
5,421
Beneficiaries
12
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHATTON, CATHERINE (CHIEF OPERATING OFFICER)
Parent OrganizationSOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
NPI Enumeration Date06/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 343 $22K
2022 1,651 $80K
2023 2,707 $148K
2024 864 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,795 1,727 $191K
99283 Emergency department visit for the evaluation and management, moderate severity 1,599 1,572 $102K
99282 Emergency department visit for the evaluation and management, low to moderate severity 592 582 $22K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 91 89 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 25 $3K
93000 60 58 $720.50
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 996 976 $397.44
3037F 159 155 $0.00
2010F 163 158 $0.00
2001F 24 23 $0.00
1125F 15 14 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 44 42 $0.00