SOUTHERN PLAINS MEDICAL CENTER INC
NPI: 1194589978
· OKLAHOMA CITY, OK 73170
· Clinic/Center
· NPI assigned 02/12/2024
$128.73
Total Medicaid Paid
Provider Details
| Authorized Official | BOGHARA, HARESHKUMAR (OWNER) |
| Parent Organization | SOUTHERN PLAINS MEDICAL CENTER INC |
| NPI Enumeration Date | 02/12/2024 |
Related Entities
Other providers sharing the same authorized official: BOGHARA, HARESHKUMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13 |
$128.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$128.73 |