NPI: 1104912674 · TULSA, OK 74104 · 261QP0904X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,615 | $464K |
| 2019 | 23,067 | $489K |
| 2020 | 15,968 | $283K |
| 2021 | 12,012 | $193K |
| 2022 | 14,630 | $261K |
| 2023 | 18,190 | $323K |
| 2024 | 3,990 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 32,423 | 32,317 | $628K | |
| 90472 | 10,924 | 10,551 | $415K | |
| H0004 | Alcohol and/or drug services | 6,525 | 2,817 | $287K |
| 92507 | 1,787 | 787 | $125K | |
| 92579 | 2,874 | 2,807 | $118K | |
| 92587 | 4,653 | 4,597 | $94K | |
| 92593 | 1,669 | 1,612 | $69K | |
| 92550 | 3,350 | 3,322 | $66K | |
| 92582 | 967 | 944 | $61K | |
| 92552 | 1,618 | 1,616 | $43K | |
| 92567 | 2,883 | 2,828 | $42K | |
| 92556 | 1,239 | 1,239 | $41K | |
| T1023 | Program intake assessment | 716 | 698 | $33K |
| 90480 | 457 | 456 | $18K | |
| 90847 | 205 | 112 | $16K | |
| H0032 | Mh svc plan dev by non-md | 187 | 186 | $15K |
| 92586 | 69 | 69 | $5K | |
| 96110 | 655 | 645 | $5K | |
| 90846 | 37 | 26 | $3K | |
| 92592 | 42 | 39 | $2K | |
| T1001 | Nursing assessment/evaluatn | 33 | 33 | $2K |
| 92555 | 71 | 71 | $2K | |
| 90716 | 421 | 419 | $1K | |
| 90715 | 2,920 | 2,920 | $596.38 | |
| 0071A | 12 | 12 | $480.00 | |
| 90620 | 200 | 199 | $417.00 | |
| 92588 | 13 | 13 | $414.44 | |
| 90651 | 1,804 | 1,803 | $367.51 | |
| 90688 | 5,277 | 5,273 | $335.00 | |
| 92650 | 12 | 12 | $299.88 | |
| 90686 | 8,509 | 8,504 | $199.00 | |
| 90734 | 1,099 | 1,099 | $109.00 | |
| 90707 | 174 | 173 | $91.45 | |
| 90713 | 685 | 684 | $37.00 | |
| 90714 | 282 | 282 | $17.00 | |
| 91320 | 164 | 164 | $8.00 | |
| 90744 | 407 | 405 | $2.00 | |
| 90619 | 416 | 416 | $2.00 | |
| 90696 | 1,117 | 1,115 | $0.00 | |
| 90647 | 183 | 183 | $0.00 | |
| 90697 | 269 | 269 | $0.00 | |
| 90680 | 30 | 30 | $0.00 | |
| 90723 | 265 | 265 | $0.00 | |
| 91318 | 32 | 32 | $0.00 | |
| 91319 | 148 | 148 | $0.00 | |
| 91305 | 18 | 18 | $0.00 | |
| 90677 | 37 | 37 | $0.00 | |
| 90743 | 28 | 28 | $0.00 | |
| 91307 | 35 | 35 | $0.00 | |
| 90674 | 198 | 198 | $0.00 | |
| 90656 | 117 | 117 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| 90710 | 2,220 | 2,217 | $0.00 | |
| 90633 | 2,407 | 2,406 | $0.00 | |
| 90670 | 740 | 740 | $0.00 | |
| 90671 | 202 | 202 | $0.00 | |
| 90700 | 472 | 471 | $0.00 | |
| 91308 | 14 | 13 | $0.00 | |
| 90648 | 107 | 107 | $0.00 | |
| 90672 | 12 | 12 | $0.00 | |
| 90756 | 30 | 30 | $0.00 |