TABOR BEHAVIORAL HEALTH LLC
NPI: 1164062253
· ARDMORE, OK 73401
· 2084P0800X
$782K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,711 |
$144K |
| 2023 |
5,643 |
$470K |
| 2024 |
2,075 |
$168K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,514 |
3,303 |
$368K |
| 90833 |
|
4,842 |
4,293 |
$288K |
| 99204 |
|
485 |
485 |
$69K |
| 99213 |
|
283 |
274 |
$21K |
| 99215 |
Prolong outpt/office vis |
108 |
100 |
$15K |
| 99203 |
|
91 |
91 |
$9K |
| 99205 |
Prolong outpt/office vis |
46 |
46 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
17 |
13 |
$2K |
| 90837 |
|
17 |
12 |
$1K |
| 96372 |
|
26 |
26 |
$288.62 |