NPI: 1437719465 · LAWTON, OK 73507 · Federally Qualified Health Center (FQHC) · NPI assigned 06/20/2019
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CEO) |
| NPI Enumeration Date | 06/20/2019 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,315 | $241K |
| 2020 | 9,183 | $838K |
| 2021 | 9,720 | $903K |
| 2022 | 9,917 | $1.01M |
| 2023 | 9,471 | $957K |
| 2024 | 4,653 | $546K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 23,120 | 21,452 | $4.32M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3,553 | 3,303 | $113K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,592 | 7,350 | $44K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,999 | 7,622 | $10K |
| 0012A | 102 | 102 | $4K | |
| 0011A | 74 | 74 | $2K | |
| 0013A | 44 | 44 | $2K | |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 29 | 29 | $1K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 165 | 165 | $158.28 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 715 | 715 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 485 | 485 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 590 | 576 | $0.00 |
| 99173 | 414 | 413 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12 | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 330 | 329 | $0.00 |
| 99381 | 14 | 14 | $0.00 | |
| 91301 | 21 | 21 | $0.00 |