FULCRUM CLINIC LLC
NPI: 1124512322
· OKLAHOMA CITY, OK 73159
· Family Nurse Practitioner
· NPI assigned 06/20/2018
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | FERGESON, SONYA (OFFICE MANAGER AND CO-OWNER) |
| NPI Enumeration Date | 06/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$765.85 |
| 2021 |
208 |
$15K |
| 2022 |
339 |
$30K |
| 2023 |
360 |
$30K |
| 2024 |
357 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
507 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
672 |
$52K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$730.22 |