Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BRISTOW ENDEAVOR HEALTHCARE, LLC

NPI: 1295243749 · CUSHING,, OK 74023 · Internal Medicine Physician · NPI assigned 01/18/2018

$47K
Total Medicaid Paid
967
Total Claims
850
Beneficiaries
4
Codes Billed
2018-04
First Month
2019-11
Last Month

Provider Details

Authorized OfficialWINTER, JAN (CEO)
Parent OrganizationBRISTOW ENDEAVOR HEALTHCARE, LLC
NPI Enumeration Date01/18/2018

Related Entities

Other providers sharing the same authorized official: WINTER, JAN

ProviderCityStateTotal Paid
BRISTOW ENDEAVOR HEALTHCARE, LLC DRUMRIGHT OK $107K
BRISTOW ENDEAVOR HEALTHCARE, LLC BRISTOW OK $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 475 $23K
2019 492 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 829 724 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 83 73 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 36 $907.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 17 $294.29