NPI: 1174770200 · YUKON, OK 73099 · 251S00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,764 | $1.50M |
| 2019 | 19,564 | $1.64M |
| 2020 | 4,054 | $365K |
| 2021 | 1,033 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Alcohol and/or drug services | 38,460 | 10,005 | $2.47M |
| G9009 | Mccd, risk adj, level 3 | 3,335 | 3,254 | $991K |
| G9001 | Mccd, initial rate | 684 | 684 | $37K |
| H0031 | Mh health assess by non-md | 321 | 321 | $33K |
| H0032 | Mh svc plan dev by non-md | 323 | 320 | $29K |
| 99213 | 121 | 119 | $7K | |
| T1017 | Targeted case management | 75 | 33 | $3K |
| H0002 | Alcohol and/or drug screenin | 76 | 76 | $2K |
| 90785 | 20 | 12 | $82.60 |