Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › BROKEN BOW › BLACK OAK CLINIC LLC

BLACK OAK CLINIC LLC

NPI: 1366954661 · BROKEN BOW, OK 74728 · 261Q00000X

$151K
Total Medicaid Paid
1,959
Total Claims
1,786
Beneficiaries
6
Codes Billed
2018-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,402 1,277 $118K
99213 450 407 $29K
99215 Prolong outpt/office vis 22 21 $2K
87635 30 29 $1K
87804 17 17 $250.24
96160 38 35 $1.14