NPI: 1174545834 · LAWTON, OK 73505 · Pediatrics Physician · NPI assigned 07/24/2006
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CFO) |
| NPI Enumeration Date | 07/24/2006 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 222 | $28K |
| 2023 | 4,695 | $570K |
| 2024 | 3,896 | $497K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 5,288 | 4,608 | $1.05M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,634 | 1,518 | $20K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 626 | 590 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 258 | 241 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 141 | 141 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 125 | 125 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 79 | 79 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 131 | 131 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 191 | 184 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 37 | 37 | $801.84 |
| 99173 | 147 | 147 | $13.75 | |
| 99381 | 28 | 28 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 99383 | 78 | 78 | $0.00 | |
| 90671 | 26 | 26 | $0.00 | |
| 99382 | 12 | 12 | $0.00 |