NPI: 1376725812 · OKLAHOMA CITY, OK 73111 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,979 | $212K |
| 2019 | 2,584 | $281K |
| 2020 | 1,455 | $191K |
| 2021 | 4,221 | $466K |
| 2022 | 6,561 | $802K |
| 2023 | 5,266 | $1.01M |
| 2024 | 3,156 | $560K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 18,883 | 17,595 | $3.47M |
| 99213 | 4,256 | 4,095 | $33K | |
| D7140 | 113 | 56 | $7K | |
| 99212 | 573 | 553 | $3K | |
| 0064A | 39 | 39 | $1K | |
| D2140 | 19 | 12 | $1K | |
| D0210 | 12 | 12 | $731.76 | |
| 0004A | 13 | 13 | $520.00 | |
| 0012A | 12 | 12 | $480.00 | |
| G0467 | Fqhc visit, estab pt | 13 | 13 | $419.91 |
| 36415 | 110 | 109 | $11.00 | |
| 99214 | 403 | 394 | $0.00 | |
| D0150 | 157 | 157 | $0.00 | |
| 99203 | 144 | 144 | $0.00 | |
| D0330 | 120 | 120 | $0.00 | |
| 99211 | 275 | 270 | $0.00 | |
| D1110 | 54 | 54 | $0.00 | |
| 99391 | 12 | 12 | $0.00 | |
| D0190 | 14 | 14 | $0.00 |