NPI: 1104379148 · MOORE, OK 73160 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 837 | $50K |
| 2019 | 1,333 | $90K |
| 2020 | 1,464 | $90K |
| 2021 | 1,696 | $156K |
| 2022 | 1,821 | $174K |
| 2023 | 2,095 | $186K |
| 2024 | 1,813 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,669 | 4,271 | $472K | |
| 99213 | 4,556 | 4,120 | $305K | |
| 99203 | 516 | 516 | $48K | |
| M0243 | Casirivi and imdevi inj | 93 | 92 | $37K |
| 99204 | 113 | 113 | $16K | |
| M0222 | Bebtelovimab injection | 47 | 47 | $15K |
| M0245 | Bamlan and etesev infusion | 23 | 23 | $9K |
| 36415 | 763 | 741 | $4K | |
| 99202 | 32 | 32 | $2K | |
| 87426 | 31 | 31 | $1K | |
| 87804 | 49 | 49 | $791.37 | |
| 99212 | 16 | 16 | $682.97 | |
| 99335 | 75 | 75 | $567.06 | |
| 99211 | 31 | 30 | $547.74 | |
| 90756 | 15 | 15 | $300.80 | |
| 90471 | 16 | 16 | $272.01 | |
| 87880 | 14 | 14 | $216.50 |