NPI: 1396385431 · MOORE, OK 73160 · 261QM2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 238 | $15K |
| 2021 | 1,454 | $104K |
| 2022 | 6,005 | $542K |
| 2023 | 7,178 | $619K |
| 2024 | 3,552 | $308K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 8,551 | 7,619 | $885K | |
| 99213 | 6,332 | 5,751 | $468K | |
| 99204 | 1,165 | 1,164 | $165K | |
| 99203 | 381 | 381 | $36K | |
| 87426 | 252 | 233 | $11K | |
| 99202 | 113 | 113 | $7K | |
| 36415 | 1,073 | 1,049 | $7K | |
| 0011A | 54 | 54 | $2K | |
| 0012A | 30 | 30 | $1K | |
| 87428 | 31 | 29 | $825.87 | |
| 96372 | 67 | 64 | $813.32 | |
| 99211 | 43 | 41 | $741.06 | |
| 80061 | 50 | 49 | $587.50 | |
| 99212 | 13 | 12 | $544.06 | |
| 83036 | 58 | 56 | $485.08 | |
| 87804 | 16 | 16 | $412.47 | |
| 96127 | 55 | 55 | $218.76 | |
| 90471 | 13 | 13 | $198.71 | |
| 87880 | 12 | 12 | $176.40 | |
| 90686 | 14 | 14 | $172.99 | |
| 81025 | 13 | 13 | $99.58 | |
| 91301 | 91 | 91 | $0.00 |