Medicaid Provider Spending

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

NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC

NPI: 1114283025 · BROKEN ARROW, OK 74012 · Sports Medicine (Family Medicine) Physician · NPI assigned 04/04/2012

$94K
Total Medicaid Paid
1,847
Total Claims
1,740
Beneficiaries
7
Codes Billed
2018-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFERGUSON, RICHARD (CEO)
NPI Enumeration Date04/04/2012

Related Entities

Other providers sharing the same authorized official: FERGUSON, RICHARD

ProviderCityStateTotal Paid
PATHWAYS COUNSELING AND EDUCATIONAL SERVICES ROCHESTER NY $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $2K
2019 405 $17K
2020 341 $17K
2021 412 $23K
2022 449 $24K
2023 175 $9K
2024 26 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,212 1,108 $85K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 394 391 $5K
90472 Immunization administration, each additional vaccine (list separately) 63 63 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $542.76
90686 121 121 $0.00
90688 32 32 $0.00