OKLAHOMA INTEGRATED CARE PLC
NPI: 1316540495
· ARDMORE, OK 73401
· 101Y00000X
$547K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
86 |
$6K |
| 2022 |
2,095 |
$165K |
| 2023 |
1,960 |
$178K |
| 2024 |
2,198 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,684 |
2,276 |
$282K |
| 90833 |
|
2,754 |
2,130 |
$159K |
| 99204 |
|
242 |
242 |
$35K |
| 90837 |
|
263 |
187 |
$32K |
| 90792 |
|
119 |
119 |
$19K |
| 99213 |
|
149 |
138 |
$12K |
| 99232 |
|
100 |
26 |
$5K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99212 |
|
16 |
16 |
$787.04 |