Medicaid Provider Spending

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

BETHANY MEDICAL CLINIC, PLLC

NPI: 1255522306 · BETHANY, OK 73008 · Health Service Clinic/Center · NPI assigned 08/05/2007

$520K
Total Medicaid Paid
8,243
Total Claims
6,809
Beneficiaries
9
Codes Billed
2018-10
First Month
2022-07
Last Month

Provider Details

Authorized OfficialBRANT, DOUGLAS (OWNER)
NPI Enumeration Date08/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 266 $14K
2019 2,151 $120K
2020 2,052 $132K
2021 2,146 $142K
2022 1,628 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,128 4,814 $460K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 830 757 $45K
80305 574 569 $6K
99205 Prolong outpt/office vis 29 29 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 236 215 $3K
93000 135 135 $1K
36415 Collection of venous blood by venipuncture 241 223 $538.87
J1100 Injection, dexamethasone sodium phosphate, 1 mg 57 55 $19.59
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $13.25