INTEGRIS GROVE HOSPITAL
NPI: 1275133993
· VINITA, OK 74301
· 261QR1300X
$263K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,087 |
$86K |
| 2022 |
1,015 |
$70K |
| 2023 |
978 |
$59K |
| 2024 |
621 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,277 |
2,193 |
$169K |
| 99214 |
|
669 |
639 |
$70K |
| 99203 |
|
100 |
100 |
$9K |
| 87811 |
|
145 |
144 |
$5K |
| 87880 |
|
349 |
342 |
$5K |
| 87804 |
|
161 |
161 |
$4K |