BRISTOW ENDEAVOR HEALTHCARE, LLC
NPI: 1275093098
· PRAGUE, OK 74864
· Family Medicine Physician
· NPI assigned 03/20/2019
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | WHITAKER, MELINDA (CREDENTIALING COORDINATOR) |
| Parent Organization | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| NPI Enumeration Date | 03/20/2019 |
Related Entities
Other providers sharing the same authorized official: WHITAKER, MELINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
190 |
$12K |
| 2020 |
141 |
$9K |
| 2021 |
501 |
$48K |
| 2022 |
587 |
$60K |
| 2023 |
496 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
680 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
792 |
$63K |
| 99215 |
Prolong outpt/office vis |
179 |
176 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
89 |
86 |
$451.97 |