Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NE WELLNESS COMMUNITY HEALTH CLINIC

NPI: 1154764173 · OKLAHOMA CITY, OK 73111 · Community Health Clinic/Center · NPI assigned 04/09/2013

$30K
Total Medicaid Paid
551
Total Claims
542
Beneficiaries
7
Codes Billed
2018-07
First Month
2021-06
Last Month

Provider Details

Authorized OfficialZUBIALDE, JOHN (EXECUTIVE DEAN)
Parent OrganizationBOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
NPI Enumeration Date04/09/2013

Related Entities

Other providers sharing the same authorized official: ZUBIALDE, JOHN

ProviderCityStateTotal Paid
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS OKLAHOMA CITY OK $96.61M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS OKLAHOMA CITY OK $3.08M
GRAND PRAIRIE PEDIATRICS WARR ACRES OK $1.52M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA -OU PHYSICIANS GENETICS OKLAHOMA CITY OK $700K
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS OKLAHOMA CITY OK $294K
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYS RESIDENTS CLINIC (INT OKLAHOMA CITY OK $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $3K
2019 120 $6K
2020 224 $11K
2021 140 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 429 420 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $705.05
90674 16 16 $395.10
90686 17 17 $216.57
36415 Collection of venous blood by venipuncture 17 17 $45.48
82947 12 12 $42.11