NPI: 1306447172 · SHAWNEE, OK 74804 · Dermatology Physician · NPI assigned 11/06/2020
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VICE PRESIDENT - FINANCE) |
| NPI Enumeration Date | 11/06/2020 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 9,283 | $763K |
| 2022 | 17,501 | $1.36M |
| 2023 | 20,415 | $1.35M |
| 2024 | 16,245 | $1.03M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16,629 | 16,360 | $1.70M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 561 | 559 | $1.06M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,859 | 7,632 | $577K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7,091 | 7,019 | $259K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7,383 | 7,314 | $207K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 9,666 | 9,583 | $141K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 798 | 798 | $111K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,050 | 1,046 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 649 | 649 | $60K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,272 | 1,269 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,551 | 2,535 | $47K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 378 | 378 | $34K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 443 | 443 | $32K |
| 76801 | 524 | 523 | $31K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 320 | 320 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,442 | 1,413 | $21K |
| 76830 | Ultrasound, transvaginal | 196 | 196 | $14K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 189 | 189 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | 121 | 121 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 70 | 70 | $6K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 291 | 291 | $6K |
| 76819 | Fetal biophysical profile; without non-stress testing | 138 | 80 | $5K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 24 | 24 | $4K |
| 87807 | 318 | 317 | $4K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 59 | 59 | $3K |
| 71046 | Radiologic examination, chest; 2 views | 167 | 160 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 328 | 328 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 158 | 158 | $2K |
| 90686 | 785 | 785 | $1K | |
| 99460 | 13 | 13 | $1K | |
| 90474 | 28 | 28 | $513.52 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 377 | 376 | $370.46 |
| 90677 | 137 | 137 | $270.38 | |
| 90656 | 124 | 124 | $188.42 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 87 | 84 | $173.02 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 12 | 12 | $115.20 |
| 36415 | Collection of venous blood by venipuncture | 36 | 36 | $80.10 |
| 90647 | 47 | 47 | $0.00 | |
| 90723 | 282 | 282 | $0.00 | |
| 90648 | 325 | 325 | $0.00 | |
| 90670 | 431 | 430 | $0.00 | |
| 90681 | 70 | 70 | $0.00 | |
| 96160 | 15 | 15 | $0.00 |