SPECIALTY CLINICS OF ST ANNE PLLC
NPI: 1356360473
· GUYMON, OK 73942
· Family Medicine Physician
$851K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
860 |
$36K |
| 2019 |
1,332 |
$67K |
| 2020 |
1,622 |
$86K |
| 2021 |
2,338 |
$146K |
| 2022 |
3,342 |
$206K |
| 2023 |
2,843 |
$188K |
| 2024 |
1,637 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,066 |
8,249 |
$778K |
| 87635 |
|
384 |
367 |
$18K |
| 99213 |
|
294 |
275 |
$15K |
| 87502 |
|
156 |
155 |
$12K |
| 96372 |
|
1,346 |
880 |
$11K |
| 99204 |
|
53 |
53 |
$7K |
| 80050 |
|
94 |
94 |
$3K |
| 87801 |
|
33 |
32 |
$2K |
| 99337 |
|
12 |
12 |
$2K |
| 99203 |
|
17 |
17 |
$1K |
| 87804 |
|
14 |
14 |
$412.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
425 |
338 |
$61.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
25 |
$20.21 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
14 |
$14.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$7.49 |