CRESTCARE FAMILY MEDICINE,PLLC
NPI: 1174139554
· BROKEN ARROW, OK 74012
· Family Medicine Physician
· NPI assigned 09/21/2020
$153K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
247 |
$15K |
| 2021 |
1,060 |
$74K |
| 2022 |
604 |
$47K |
| 2023 |
193 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,716 |
1,495 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
251 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$12K |