BROKEN ARROW PEDIATRICS, LLC
NPI: 1265879175
· BROKEN ARROW, OK 74012
· 208000000X
$1.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,728 |
$257K |
| 2019 |
7,930 |
$285K |
| 2020 |
7,370 |
$269K |
| 2021 |
6,591 |
$277K |
| 2022 |
6,825 |
$307K |
| 2023 |
7,549 |
$367K |
| 2024 |
3,229 |
$191K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
10,295 |
9,781 |
$709K |
| 99392 |
|
2,838 |
2,837 |
$258K |
| 99391 |
|
2,459 |
2,410 |
$210K |
| 99393 |
|
2,158 |
2,158 |
$191K |
| 99214 |
|
1,606 |
1,581 |
$166K |
| 90471 |
|
6,374 |
6,354 |
$115K |
| 90472 |
|
3,856 |
3,851 |
$113K |
| 92285 |
|
4,490 |
4,490 |
$83K |
| 99394 |
|
342 |
342 |
$33K |
| 92551 |
|
3,076 |
3,074 |
$30K |
| 87880 |
|
1,462 |
1,437 |
$21K |
| 87804 |
|
368 |
364 |
$5K |
| 99203 |
|
53 |
53 |
$5K |
| 99381 |
|
48 |
48 |
$5K |
| 87807 |
|
154 |
151 |
$2K |
| 96161 |
|
335 |
300 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 87811 |
|
34 |
34 |
$1K |
| 99212 |
|
25 |
25 |
$1K |
| 96127 |
|
198 |
197 |
$805.67 |
| 96110 |
|
52 |
52 |
$447.66 |
| 85018 |
|
116 |
116 |
$244.76 |
| 85014 |
|
114 |
114 |
$240.54 |
| 83655 |
|
17 |
17 |
$183.09 |
| 90680 |
|
489 |
488 |
$0.00 |
| 90698 |
|
656 |
655 |
$0.00 |
| 90744 |
|
142 |
142 |
$0.00 |
| 90686 |
|
915 |
915 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90674 |
|
69 |
69 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 96160 |
|
1,537 |
1,537 |
$0.00 |
| 90670 |
|
1,393 |
1,392 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90633 |
|
264 |
264 |
$0.00 |
| 90710 |
|
98 |
98 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |