NPI: 1285010413 · ARDMORE, OK 73401 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 299 | $13K |
| 2019 | 606 | $73K |
| 2020 | 2,090 | $232K |
| 2021 | 8,206 | $1.02M |
| 2022 | 11,752 | $1.70M |
| 2023 | 15,442 | $1.76M |
| 2024 | 9,659 | $1.16M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 28,736 | 26,089 | $5.63M |
| D7140 | 1,371 | 616 | $92K | |
| 99213 | 11,526 | 10,823 | $91K | |
| 99214 | 2,536 | 2,456 | $52K | |
| D2392 | 310 | 252 | $36K | |
| D0140 | 518 | 506 | $15K | |
| D2391 | 160 | 121 | $10K | |
| D0220 | 579 | 568 | $9K | |
| G0467 | Fqhc visit, estab pt | 211 | 190 | $6K |
| D9999 | 29 | 29 | $6K | |
| D2393 | 36 | 29 | $5K | |
| 99441 | 57 | 57 | $3K | |
| 99392 | 26 | 26 | $958.30 | |
| D0230 | 112 | 96 | $932.04 | |
| 99391 | 62 | 62 | $629.58 | |
| G0466 | Fqhc visit new patient | 13 | 13 | $545.70 |
| 90460 | 43 | 43 | $421.82 | |
| 87880 | 15 | 14 | $220.50 | |
| 96127 | 13 | 13 | $43.08 | |
| 99203 | 309 | 309 | $21.20 | |
| D1208 | 29 | 29 | $0.00 | |
| D0150 | 699 | 699 | $0.00 | |
| D0120 | 25 | 25 | $0.00 | |
| D1206 | 137 | 137 | $0.00 | |
| 36415 | 14 | 14 | $0.00 | |
| D0603 | 13 | 13 | $0.00 | |
| D1110 | 323 | 323 | $0.00 | |
| D1120 | 138 | 138 | $0.00 | |
| D0274 | 14 | 14 | $0.00 |