INTEGRIS BASS BAPTIST HEALTH CENTER
NPI: 1124029293
· WAYNOKA, OK 73860
· Rural Health Clinic/Center
· NPI assigned 08/10/2005
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WALLACE, DONNA controls 14+ related entities in our dataset. Read more
$303K
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, DONNA (ASSISTANT TREASURER) |
| NPI Enumeration Date | 08/10/2005 |
Related Entities
Other providers sharing the same authorized official: WALLACE, DONNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
526 |
$32K |
| 2019 |
670 |
$43K |
| 2020 |
641 |
$49K |
| 2021 |
869 |
$68K |
| 2022 |
605 |
$50K |
| 2023 |
368 |
$38K |
| 2024 |
177 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,458 |
2,195 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,127 |
1,058 |
$89K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
139 |
122 |
$5K |
| 99307 |
|
41 |
38 |
$974.03 |
| 99406 |
|
91 |
89 |
$0.00 |