KIAMICHI FAMILY MEDICAL CENTER INC.
NPI: 1134138720
· BROKEN BOW, OK 74728
· 261QF0400X
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,804 |
$175K |
| 2019 |
1,689 |
$171K |
| 2020 |
1,057 |
$115K |
| 2021 |
1,899 |
$199K |
| 2022 |
2,795 |
$279K |
| 2023 |
2,724 |
$291K |
| 2024 |
924 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
6,801 |
6,380 |
$1.32M |
| G0467 |
Fqhc visit, estab pt |
1,214 |
1,098 |
$28K |
| 99213 |
|
3,216 |
3,020 |
$2K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
12 |
12 |
$186.00 |
| 99212 |
|
648 |
614 |
$0.00 |
| D0330 |
|
451 |
451 |
$0.00 |
| 99393 |
|
13 |
13 |
$0.00 |
| 99394 |
|
14 |
14 |
$0.00 |
| 36415 |
|
83 |
80 |
$0.00 |
| D0150 |
|
381 |
381 |
$0.00 |
| D1208 |
|
12 |
12 |
$0.00 |
| D0120 |
|
47 |
46 |
$0.00 |