Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH TULSA PEDIATRICS PLLJ

NPI: 1215920293 · TULSA, OK 74133 · Pediatrics Physician · NPI assigned 08/25/2005

$2K
Total Medicaid Paid
29
Total Claims
28
Beneficiaries
1
Codes Billed
2022-04
First Month
2022-09
Last Month

Provider Details

Authorized OfficialMAYBERRY, DAWN (OWNER/PHYSICIAN)
NPI Enumeration Date08/25/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 29 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 28 $2K