Medicaid Provider Spending

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

EASTERN OKLAHOMA MEDICAL CONSULTANTS, PLLC

NPI: 1114276425 · GORE, OK 74435 · Family Medicine Physician · NPI assigned 08/31/2012

$3.14M
Total Medicaid Paid
48,113
Total Claims
42,288
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEATHLEY, SHELLY (OFFICE MANAGER)
NPI Enumeration Date08/31/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,400 $167K
2019 4,019 $276K
2020 4,801 $296K
2021 7,032 $466K
2022 8,241 $635K
2023 12,128 $675K
2024 8,492 $623K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,809 11,740 $1.15M
99308 Subsequent nursing facility care, per day, straightforward 14,285 11,553 $693K
T1015 Clinic visit/encounter, all-inclusive 4,778 4,314 $675K
99307 5,934 4,659 $286K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,187 1,170 $78K
99348 2,180 2,078 $69K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 3,599 3,590 $62K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,079 956 $31K
99309 Subsequent nursing facility care, per day, low to moderate complexity 632 626 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 519 501 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 79 $9K
99306 Prolong nursin fac eval 15m 87 86 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 203 202 $6K
99305 45 45 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 29 $4K
87449 247 245 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 42 42 $498.52
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $311.78
87807 18 18 $209.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $182.13
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $80.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 102 101 $71.42
G0008 Administration of influenza virus vaccine 20 20 $46.80
36415 Collection of venous blood by venipuncture 26 24 $24.99
81003 13 12 $24.14
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 126 $1.23
96160 18 18 $0.00