WISE HOLDINGS LLC
NPI: 1396344800
· POTEAU, OK 74953
· Pain Medicine Physician
· NPI assigned 10/26/2020
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | WISE, CALLIE (OWNER) |
| NPI Enumeration Date | 10/26/2020 |
Related Entities
Other providers sharing the same authorized official: WISE, CALLIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,315 |
$65K |
| 2022 |
502 |
$24K |
| 2023 |
191 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,358 |
$64K |
| 99215 |
Prolong outpt/office vis |
272 |
264 |
$35K |
| 99406 |
|
297 |
277 |
$4K |
| 80305 |
|
27 |
27 |
$303.04 |