BLACK OAK CLINIC LLC
NPI: 1366954661
· BROKEN BOW, OK 74728
· Clinic/Center
· NPI assigned 10/26/2017
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | BLACK, MEGAN (OWNER/NURSE PRACTITIONER) |
| NPI Enumeration Date | 10/26/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$799.90 |
| 2019 |
137 |
$8K |
| 2020 |
78 |
$5K |
| 2021 |
168 |
$13K |
| 2022 |
527 |
$40K |
| 2023 |
595 |
$49K |
| 2024 |
438 |
$34K |
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 |
1,402 |
1,277 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
407 |
$29K |
| 99215 |
Prolong outpt/office vis |
22 |
21 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$250.24 |
| 96160 |
|
38 |
35 |
$1.14 |