NPI: 1295232478 · HENRYETTA, OK 74437 · Clinic/Center · NPI assigned 04/12/2018
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (EVP) |
| Parent Organization | AHS HILLCREST HEALTHCARE SYSTEM, LLC |
| NPI Enumeration Date | 04/12/2018 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $3K |
| 2019 | 92 | $6K |
| 2021 | 97 | $14K |
| 2022 | 966 | $155K |
| 2023 | 485 | $102K |
| 2024 | 142 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 928 | 871 | $178K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 558 | 538 | $112K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 85 | 85 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 108 | 108 | $585.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 16 | 15 | $224.00 |
| 36415 | Collection of venous blood by venipuncture | 129 | 129 | $3.00 |
| 90715 | 12 | 12 | $0.00 | |
| 90677 | 14 | 14 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12 | 12 | $0.00 |