NPI: 1346788296 · LAWTON, OK 73505 · Federally Qualified Health Center (FQHC) · NPI assigned 02/10/2017
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CEO) |
| NPI Enumeration Date | 02/10/2017 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,369 | $455K |
| 2019 | 8,099 | $857K |
| 2020 | 9,119 | $989K |
| 2021 | 11,228 | $1.17M |
| 2022 | 13,122 | $1.39M |
| 2023 | 11,893 | $1.33M |
| 2024 | 6,675 | $838K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 37,359 | 33,239 | $6.89M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,873 | 1,705 | $58K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15,850 | 14,375 | $46K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,664 | 4,504 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 342 | 340 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 75 | 74 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,706 | 1,705 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 45 | 45 | $825.30 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 30 | 30 | $788.62 |
| 92551 | 38 | 38 | $380.00 | |
| 81002 | 91 | 68 | $282.10 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 18 | 18 | $135.04 |
| 99173 | 512 | 512 | $107.25 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 278 | 256 | $49.86 |
| 99381 | 46 | 46 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,541 | 1,513 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 37 | 37 | $0.00 |