NPI: 1154753614 · EDMOND, OK 73003 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 412 | $28K |
| 2019 | 159 | $11K |
| 2020 | 290 | $21K |
| 2021 | 438 | $34K |
| 2022 | 674 | $56K |
| 2023 | 656 | $55K |
| 2024 | 317 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,165 | 1,143 | $121K | |
| 99204 | 238 | 238 | $34K | |
| 99213 | 378 | 364 | $29K | |
| 99203 | 164 | 164 | $16K | |
| U0002 | Covid-19 lab test non-cdc | 274 | 272 | $14K |
| 87428 | 142 | 142 | $4K | |
| 87426 | 77 | 77 | $3K | |
| 87635 | 57 | 55 | $3K | |
| 87880 | 106 | 106 | $2K | |
| 87430 | 99 | 97 | $1K | |
| 87651 | 37 | 37 | $1K | |
| 99051 | 178 | 177 | $1K | |
| 87804 | 31 | 30 | $802.99 |