NPI: 1205152600 · EDMOND, OK 73013 · Family Medicine Physician · NPI assigned 04/12/2010
| Authorized Official | CRAFTS, NICHOLAS (OFFICER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 04/12/2010 |
Other providers sharing the same authorized official: CRAFTS, NICHOLAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| COMMUNITY HOSPITAL LLC | OKLAHOMA CITY | OK | $2.64M |
| SIOUXLAND SURGERY CENTER LIMITED LIABILITY PARTNERSHIP | DAKOTA DUNES | SD | $658K |
| COMMUNITY HOSPITAL LLC | OKLAHOMA CITY | OK | $439K |
| MEMORIAL HERMANN SURGERY CENTER SOUTHWEST LLP | HOUSTON | TX | $27K |
| MEMORIAL HERMANN SURGERY CENTER PRESTON ROAD, LTD. | PASADENA | TX | $1K |
| TOPS SPECIALTY HOSPITAL, LTD. | HOUSTON | TX | $0.00 |
| MEMORIAL HERMANN SURGERY CENTER NORTHWEST, LLP | HOUSTON | TX | $0.00 |
| CONROE SURGERY CENTER 2, LLC | CONROE | TX | $0.00 |
| MEMORIAL HERMANN TEXAS INTERNATIONAL ENDOSCOPY CENTER, LLC | HOUSTON | TX | $0.00 |
| MEMORIAL HERMANN SURGERY CENTER KIRBY, LLC | HOUSTON | TX | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 202 | $10K |
| 2019 | 174 | $9K |
| 2020 | 30 | $2K |
| 2021 | 667 | $65K |
| 2022 | 1,181 | $117K |
| 2023 | 57 | $4K |
| 2024 | 24 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,157 | 1,076 | $109K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 814 | 783 | $50K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 308 | 308 | $44K |
| 00126 | 13 | 13 | $2K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 13 | 13 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16 | 16 | $605.25 |
| 72110 | 14 | 14 | $147.98 |