NPI: 1275799645 · TAHLEQUAH, OK 74464 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,808 | $403K |
| 2019 | 5,111 | $1.23M |
| 2020 | 3,464 | $408K |
| 2021 | 4,691 | $845K |
| 2022 | 5,261 | $1.72M |
| 2023 | 3,687 | $1.26M |
| 2024 | 1,850 | $510K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Alcohol and/or drug services | 6,468 | 2,380 | $3.28M |
| G0463 | Hospital outpt clinic visit | 2,531 | 2,383 | $1.38M |
| 99212 | 11,145 | 9,409 | $994K | |
| 99238 | 2,177 | 2,172 | $144K | |
| 99214 | 2,083 | 2,000 | $113K | |
| D9999 | 94 | 94 | $95K | |
| 99460 | 982 | 982 | $85K | |
| 99233 | Prolong inpt eval add15 m | 905 | 381 | $65K |
| H2011 | Crisis interven svc, 15 min | 95 | 86 | $61K |
| G2211 | Complex e/m visit add on | 74 | 73 | $45K |
| 99213 | 121 | 121 | $27K | |
| C9803 | Hopd covid-19 spec collect | 144 | 138 | $13K |
| 99223 | Prolong inpt eval add15 m | 93 | 93 | $13K |
| H0031 | Mh health assess by non-md | 27 | 27 | $11K |
| 59409 | 13 | 13 | $9K | |
| 90792 | 40 | 40 | $9K | |
| 45378 | 16 | 15 | $9K | |
| 99215 | Prolong outpt/office vis | 128 | 127 | $7K |
| 99406 | 101 | 85 | $7K | |
| 99443 | 14 | 14 | $5K | |
| H0032 | Mh svc plan dev by non-md | 15 | 15 | $4K |
| 99462 | 90 | 76 | $3K | |
| 01967 | 12 | 12 | $3K | |
| 99284 | 88 | 85 | $1K | |
| 99222 | 12 | 12 | $1K | |
| 99239 | 13 | 13 | $613.01 | |
| 71045 | 25 | 25 | $20.16 | |
| 71046 | 14 | 14 | $13.72 | |
| T1015 | Clinic service | 334 | 218 | $0.00 |
| 0002A | 18 | 18 | $0.00 |