TAHLEQUAH FAMILY MEDICINE CLINIC
NPI: 1144633041
· TAHLEQUAH, OK 74464
· Primary Care Clinic/Center
· NPI assigned 06/09/2014
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | SUMNER, LARRY (PHYSICIAN) |
| NPI Enumeration Date | 06/09/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,239 |
$61K |
| 2019 |
1,441 |
$74K |
| 2020 |
849 |
$41K |
| 2021 |
221 |
$11K |
| 2022 |
18 |
$595.63 |
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 |
3,053 |
2,694 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
603 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99408 |
|
12 |
12 |
$371.52 |
| 96127 |
|
13 |
13 |
$48.42 |
| 96160 |
|
12 |
12 |
$1.24 |