NPI: 1376041343 · TECUMSEH, OK 74873 · Family Medicine Physician · NPI assigned 01/25/2018
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VICE PRESIDENT - FINANCE) |
| NPI Enumeration Date | 01/25/2018 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 531 | $35K |
| 2020 | 561 | $37K |
| 2021 | 440 | $37K |
| 2022 | 747 | $59K |
| 2023 | 552 | $49K |
| 2024 | 357 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,429 | 2,291 | $233K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 364 | 361 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 90 | 87 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 125 | 119 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13 | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 31 | 31 | $696.92 |
| 90686 | 73 | 73 | $412.22 | |
| 96127 | 26 | 26 | $101.66 | |
| 90656 | 12 | 12 | $83.72 | |
| 36415 | Collection of venous blood by venipuncture | 12 | 12 | $14.02 |
| 90688 | 13 | 13 | $0.00 |