INTEGRIS HEALTH ALLSET URGENT CARE LLC
NPI: 1164107256
· EDMOND, OK 73013
· 261QU0200X
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
14 |
$2K |
| 2024 |
1,361 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
737 |
737 |
$68K |
| 99213 |
|
368 |
357 |
$28K |
| 99204 |
|
28 |
28 |
$4K |
| 87428 |
|
93 |
91 |
$3K |
| 87430 |
|
124 |
122 |
$2K |
| 87400 |
|
25 |
25 |
$628.50 |