NPI: 1093395618 · SHAWNEE, OK 74804 · Medical Physician Assistant · NPI assigned 04/08/2021
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VICE PRESIDENT - FINANCE) |
| NPI Enumeration Date | 04/08/2021 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,202 | $183K |
| 2022 | 4,891 | $399K |
| 2023 | 4,731 | $407K |
| 2024 | 3,970 | $327K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,912 | 5,662 | $589K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,228 | 4,073 | $310K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1,359 | 1,359 | $183K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,065 | 1,065 | $92K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 329 | 329 | $64K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 128 | 128 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,135 | 1,121 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 244 | 243 | $7K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 42 | 42 | $6K |
| 95115 | 689 | 238 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 37 | 37 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 31 | 31 | $3K |
| 92567 | 126 | 126 | $2K | |
| 90686 | 200 | 200 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 94 | 92 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 13 | 13 | $382.72 |
| 95117 | 34 | 13 | $308.65 | |
| 90656 | 40 | 40 | $293.02 | |
| 90688 | 15 | 15 | $79.64 | |
| 96160 | 61 | 61 | $0.00 | |
| 90633 | 12 | 12 | $0.00 |