803 OAK STREET OPERATIONS LLC
NPI: 1356610091
· GREEN COVE SPRINGS, FL 32043
· 314000000X
$2.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,078 |
$378K |
| 2019 |
16,846 |
$826K |
| 2020 |
19,548 |
$941K |
| 2021 |
4,240 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97112 |
|
12,638 |
748 |
$624K |
| 97530 |
|
13,219 |
734 |
$574K |
| 97110 |
|
10,547 |
808 |
$563K |
| 97535 |
|
5,616 |
575 |
$278K |
| 97116 |
|
1,406 |
135 |
$144K |
| G8988 |
Self care goal status |
141 |
56 |
$13K |
| 97124 |
|
495 |
110 |
$11K |
| G8987 |
Self care current status |
90 |
40 |
$10K |
| 97150 |
|
259 |
44 |
$6K |
| G8979 |
Mobility goal status |
23 |
12 |
$3K |
| G0008 |
Admin influenza virus vac |
102 |
69 |
$95.26 |
| 0001A |
|
28 |
21 |
$0.00 |
| 90694 |
|
58 |
39 |
$0.00 |
| 90688 |
|
25 |
17 |
$0.00 |
| 0002A |
|
28 |
21 |
$0.00 |
| 90662 |
|
22 |
14 |
$0.00 |
| 97163 |
|
15 |
12 |
$0.00 |