NPI: 1396116745 · CHANDLER, OK 74834 · Family Medicine Physician · NPI assigned 10/12/2015
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VICE PRESIDENT - FINANCE) |
| NPI Enumeration Date | 10/12/2015 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 252 | $19K |
| 2020 | 225 | $15K |
| 2022 | 545 | $45K |
| 2023 | 748 | $57K |
| 2024 | 686 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,757 | 1,536 | $174K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 408 | 405 | $7K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 81 | 76 | $5K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 29 | 29 | $4K |
| 99215 | Prolong outpt/office vis | 15 | 15 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 40 | 38 | $1K |
| 90686 | 87 | 87 | $849.55 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 13 | $196.00 |
| 90656 | 25 | 25 | $167.46 |