PINE RIDGE MENTAL HEALTHCARE, LLC
NPI: 1346828050
· OWASSO, OK 74055
· 101YM0800X
$644K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
117 |
$12K |
| 2022 |
1,415 |
$125K |
| 2023 |
4,134 |
$284K |
| 2024 |
3,684 |
$224K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,786 |
3,848 |
$509K |
| 90833 |
|
601 |
515 |
$37K |
| 99213 |
|
491 |
462 |
$36K |
| 90792 |
|
207 |
207 |
$33K |
| 99204 |
|
109 |
109 |
$15K |
| 96127 |
|
3,156 |
2,429 |
$13K |