NPI: 1295317626 · TULSA, OK 74112 · Clinic/Center · NPI assigned 04/26/2021
Authorized official POLAK, ERIC controls 20+ related entities in our dataset. Read more
| Authorized Official | POLAK, ERIC (VICE PRESIDENT FOR ADMIN/FINANCE) |
| NPI Enumeration Date | 04/26/2021 |
Other providers sharing the same authorized official: POLAK, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $18.91M |
| OSU-CENTER FOR HEALTH SCIENCES | OKLAHOMA CITY | OK | $16.29M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $14.05M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $13.69M |
| OKLAHOMA STATE UNIVERSITY | TULSA | OK | $12.83M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $11.43M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $10.50M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $8.49M |
| OKLAHOMA STATE UNIVERSITY | TULSA | OK | $8.17M |
| OSU CENTER FOR HEALTH SCIENCES | DURANT | OK | $7.84M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $6.76M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $5.78M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $4.96M |
| OKLAHOMA STATE UNIVERSITY | TULSA | OK | $4.83M |
| OSU CENTER FOR HEALTH SCIENCES | MUSKOGEE | OK | $4.44M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $4.38M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $4.23M |
| OSU CENTER FOR HEALTH SCIENCES | TULSA | OK | $3.43M |
| OSU CENTER FOR HEALTH SCIENCES | ENID | OK | $3.02M |
| OSU CENTER FOR HEALTH SCIENCES | STILLWATER | OK | $2.88M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 671 | $59K |
| 2022 | 1,806 | $171K |
| 2023 | 163 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 503 | 487 | $74K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 275 | 265 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 219 | 218 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 195 | 195 | $34K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 584 | 584 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 25 | 25 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 86 | 84 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 228 | 228 | $4K |
| 0072A | 19 | 19 | $760.00 | |
| 0071A | 17 | 17 | $680.00 | |
| 90473 | 32 | 32 | $586.88 | |
| 99173 | 28 | 28 | $133.36 | |
| 90670 | 165 | 165 | $0.00 | |
| 90672 | 48 | 48 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90680 | 25 | 25 | $0.00 | |
| 90697 | 54 | 54 | $0.00 | |
| 90674 | 37 | 37 | $0.00 | |
| 90686 | 63 | 63 | $0.00 | |
| 90698 | 25 | 25 | $0.00 |