PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC
NPI: 1366892424
· OKLAHOMA CITY, OK 73104
· Family Medicine Physician
· NPI assigned 06/20/2016
$303K
Total Medicaid Paid
Provider Details
| Authorized Official | DELOACH, CASEY (PRESIDENT) |
| Parent Organization | VAXCARE CORPORATION |
| NPI Enumeration Date | 06/20/2016 |
Related Entities
Other providers sharing the same authorized official: DELOACH, CASEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
81 |
$1K |
| 2021 |
1,384 |
$24K |
| 2022 |
2,805 |
$61K |
| 2023 |
4,041 |
$91K |
| 2024 |
4,821 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,138 |
2,130 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,454 |
4,416 |
$71K |
| 90677 |
|
311 |
311 |
$41K |
| 90686 |
|
2,188 |
2,186 |
$40K |
| 90715 |
|
1,244 |
1,237 |
$39K |
| 90656 |
|
588 |
587 |
$11K |
| 90674 |
|
248 |
248 |
$5K |
| 90651 |
|
170 |
169 |
$4K |
| 90661 |
|
179 |
179 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
222 |
222 |
$3K |
| 90750 |
|
12 |
12 |
$2K |
| 90670 |
|
168 |
168 |
$966.24 |
| 90746 |
|
13 |
13 |
$856.57 |
| 90480 |
|
16 |
16 |
$599.20 |
| 0011A |
|
13 |
13 |
$520.00 |
| 90707 |
|
43 |
43 |
$451.20 |
| 90716 |
|
30 |
30 |
$300.46 |
| 90619 |
|
35 |
35 |
$145.46 |
| 90700 |
|
46 |
46 |
$0.00 |
| 90710 |
|
95 |
95 |
$0.00 |
| 90633 |
|
253 |
253 |
$0.00 |
| 90671 |
|
144 |
144 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90680 |
|
165 |
165 |
$0.00 |
| 90697 |
|
69 |
69 |
$0.00 |
| 90723 |
|
122 |
122 |
$0.00 |
| 90647 |
|
110 |
110 |
$0.00 |
| 90696 |
|
19 |
19 |
$0.00 |