NPI: 1386611580 · WAGONER, OK 74467 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,970 | $799K |
| 2019 | 11,528 | $943K |
| 2020 | 9,740 | $756K |
| 2021 | 14,651 | $1.05M |
| 2022 | 22,327 | $1.53M |
| 2023 | 21,619 | $1.41M |
| 2024 | 11,921 | $792K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 14,994 | 12,925 | $1.82M | |
| 99284 | 6,059 | 5,322 | $1.30M | |
| 99213 | 13,071 | 11,080 | $723K | |
| D9999 | 557 | 557 | $495K | |
| 99282 | 9,315 | 8,632 | $469K | |
| 90832 | 10,334 | 3,403 | $460K | |
| 90791 | 3,136 | 3,126 | $338K | |
| 99221 | 3,568 | 3,488 | $266K | |
| 99238 | 3,491 | 3,410 | $201K | |
| 99231 | 5,290 | 2,687 | $185K | |
| 99223 | Prolong inpt eval add15 m | 1,016 | 1,000 | $135K |
| 99285 | 381 | 287 | $89K | |
| 99281 | 2,959 | 1,992 | $81K | |
| 99214 | 1,417 | 1,363 | $75K | |
| 96374 | 492 | 479 | $73K | |
| 87637 | 491 | 485 | $67K | |
| 90792 | 545 | 544 | $56K | |
| 96372 | 1,134 | 899 | $51K | |
| 80053 | 4,830 | 4,525 | $47K | |
| 85025 | 5,682 | 5,338 | $38K | |
| 99239 | 460 | 451 | $37K | |
| 99233 | Prolong inpt eval add15 m | 477 | 422 | $35K |
| 99232 | 594 | 363 | $31K | |
| 87502 | 304 | 304 | $25K | |
| 36415 | 4,863 | 4,423 | $25K | |
| 99203 | 263 | 263 | $22K | |
| 00170 | 56 | 56 | $21K | |
| 87635 | 358 | 356 | $18K | |
| 74176 | 154 | 152 | $13K | |
| 99204 | 105 | 105 | $13K | |
| 71045 | 628 | 621 | $9K | |
| 84443 | 550 | 541 | $8K | |
| 80061 | 625 | 624 | $7K | |
| G2023 | Specimen collect covid-19 | 334 | 332 | $7K |
| 83036 | 654 | 653 | $6K | |
| 99205 | Prolong outpt/office vis | 31 | 31 | $5K |
| 87651 | 104 | 103 | $3K | |
| 96375 | 53 | 50 | $3K | |
| 93306 | 27 | 27 | $3K | |
| 96127 | 691 | 677 | $2K | |
| G0463 | Hospital outpt clinic visit | 141 | 74 | $2K |
| 87801 | 27 | 27 | $2K | |
| 99220 | 15 | 15 | $2K | |
| 84439 | 229 | 224 | $2K | |
| 83880 | 43 | 43 | $1K | |
| 84484 | 136 | 125 | $1K | |
| 96361 | 27 | 26 | $1K | |
| 99383 | 12 | 12 | $1K | |
| 87400 | 103 | 52 | $1K | |
| 81001 | 356 | 354 | $970.08 | |
| 93005 | 187 | 179 | $922.97 | |
| 90471 | 53 | 53 | $890.91 | |
| 71046 | 39 | 39 | $747.49 | |
| 82306 | 28 | 28 | $710.91 | |
| 80307 | 12 | 12 | $663.24 | |
| 81003 | 277 | 275 | $524.00 | |
| 83735 | 83 | 83 | $478.54 | |
| 80048 | 53 | 52 | $392.02 | |
| J3010 | Fentanyl citrate injection | 302 | 302 | $234.25 |
| 90686 | 15 | 15 | $227.66 | |
| 87880 | 12 | 12 | $163.20 | |
| 82607 | 12 | 12 | $160.92 | |
| 84550 | 39 | 39 | $153.28 | |
| J2405 | Ondansetron hcl injection | 379 | 379 | $52.73 |
| J1885 | Ketorolac tromethamine inj | 83 | 79 | $0.00 |