MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC

NPI: 1427604719 · IDABEL, OK 74745 · Urgent Care Clinic/Center · NPI assigned 08/13/2019

$104K

Total Medicaid Paid

1,065

Total Claims

1,017

Beneficiaries

Codes Billed

2023-08

First Month

2024-12

Last Month

Provider Details

Authorized Official	ALLEN, KENA (CFO)
Parent Organization	MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC
NPI Enumeration Date	08/13/2019

Other providers sharing the same authorized official: ALLEN, KENA

Provider	City	State	Total Paid
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.	IDABEL	OK	$2.18M
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.	VALLIANT	OK	$197K
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC	BROKEN BOW	OK	$146K

Year	Claims	Total Paid
2023	350	$34K
2024	715	$69K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	638	606	$89K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	87	86	$12K
0502F		29	25	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	52	42	$419.39
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	36	36	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	87	87	$0.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	136	135	$0.00