Medicaid Provider Spending

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

OKLAHOMA PROTON CENTER LLC

NPI: 1114408762 · OKLAHOMA CITY, OK 73142 · Radiation Oncology Clinic/Center · NPI assigned 08/22/2018

$4K
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
2
Codes Billed
2023-12
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRAUBACH, DAVID (OFFICER)
NPI Enumeration Date08/22/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 30 $2K
2024 24 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 27 27 $3K
77063 Screening digital breast tomosynthesis, bilateral 27 27 $1K