SULTAN LLC
NPI: 1366676595
· FREDERICK, OK 73542
· General Practice Physician
· NPI assigned 05/01/2009
$166K
Total Medicaid Paid
Provider Details
| Authorized Official | SULTAN, MAHA (OWNER) |
| NPI Enumeration Date | 05/01/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,060 |
$47K |
| 2019 |
863 |
$42K |
| 2020 |
978 |
$39K |
| 2021 |
707 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,661 |
2,447 |
$144K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
819 |
818 |
$19K |
| 99442 |
|
96 |
89 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$472.72 |
| 96160 |
|
20 |
19 |
$8.56 |