GREAT SALT PLAINS HEALTH CENTER
NPI: 1427593409
· CANTON, OK 73724
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/29/2016
$777K
Total Medicaid Paid
Provider Details
| Authorized Official | STARKEY, TIM (CEO) |
| Parent Organization | GREAT SALT PLAINS HEALTH CENTER |
| NPI Enumeration Date | 12/29/2016 |
Related Entities
Other providers sharing the same authorized official: STARKEY, TIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
447 |
$55K |
| 2019 |
324 |
$47K |
| 2020 |
624 |
$76K |
| 2021 |
1,345 |
$154K |
| 2022 |
1,736 |
$199K |
| 2023 |
1,386 |
$163K |
| 2024 |
528 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,178 |
3,722 |
$777K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
60 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
900 |
826 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
1,042 |
$0.00 |
| 87428 |
|
151 |
147 |
$0.00 |