FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
NPI: 1316981657
· FAIRVIEW, OK 73737
· Family Medicine Physician
· NPI assigned 06/16/2006
$669K
Total Medicaid Paid
Provider Details
| Authorized Official | KNAK, ROGER (ADMINISTRATOR) |
| Parent Organization | FAIRVIEW HOSPITAL |
| NPI Enumeration Date | 06/16/2006 |
Related Entities
Other providers sharing the same authorized official: KNAK, ROGER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
885 |
$68K |
| 2019 |
1,195 |
$84K |
| 2020 |
659 |
$46K |
| 2021 |
1,219 |
$95K |
| 2022 |
1,809 |
$143K |
| 2023 |
1,783 |
$151K |
| 2024 |
873 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,023 |
4,774 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,732 |
2,553 |
$270K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
325 |
321 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
254 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$811.28 |