NPI: 1205428596 · OKEMAH, OK 74859 · Internal Medicine Physician · NPI assigned 02/08/2021
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VICE PRESIDENT - FINANCE) |
| NPI Enumeration Date | 02/08/2021 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 754 | $53K |
| 2023 | 794 | $59K |
| 2024 | 631 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 949 | 885 | $93K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 884 | 803 | $66K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 201 | 199 | $4K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $1K |
| 90686 | 62 | 62 | $475.15 | |
| 99406 | 14 | 14 | $188.28 | |
| 90656 | 12 | 12 | $104.65 | |
| 96160 | 45 | 45 | $0.00 |