NORTHEASTERN HEALTH SYSTEM
NPI: 1457574170
· TAHLEQUAH, OK 74464
· 207P00000X
$2.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,074 |
$368K |
| 2019 |
4,839 |
$230K |
| 2020 |
3,593 |
$166K |
| 2021 |
4,128 |
$213K |
| 2022 |
6,853 |
$430K |
| 2023 |
5,362 |
$424K |
| 2024 |
3,228 |
$254K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,067 |
8,976 |
$767K |
| 99283 |
|
7,130 |
7,074 |
$394K |
| 99285 |
|
1,933 |
1,914 |
$201K |
| 99215 |
Prolong outpt/office vis |
1,632 |
1,163 |
$166K |
| 69436 |
|
603 |
603 |
$112K |
| 99232 |
|
2,988 |
1,526 |
$107K |
| 99233 |
Prolong inpt eval add15 m |
1,773 |
952 |
$73K |
| 99239 |
|
868 |
861 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
483 |
477 |
$44K |
| 99213 |
|
1,663 |
1,241 |
$39K |
| 93010 |
|
4,474 |
3,682 |
$17K |
| 99205 |
Prolong outpt/office vis |
135 |
135 |
$16K |
| 01992 |
|
153 |
152 |
$14K |
| 99282 |
|
427 |
422 |
$14K |
| 99291 |
|
96 |
49 |
$14K |
| 00126 |
|
54 |
54 |
$9K |
| 99214 |
|
158 |
145 |
$7K |
| 42820 |
|
27 |
27 |
$7K |
| 99220 |
|
88 |
88 |
$7K |
| 93306 |
|
814 |
810 |
$7K |
| 99238 |
|
117 |
114 |
$5K |
| 00731 |
|
45 |
45 |
$5K |
| 99222 |
|
59 |
59 |
$4K |
| 95810 |
|
37 |
37 |
$3K |
| 97597 |
|
98 |
64 |
$3K |
| 00170 |
|
12 |
12 |
$2K |
| 99217 |
|
15 |
15 |
$499.89 |
| 99212 |
|
22 |
14 |
$406.16 |
| G2211 |
Complex e/m visit add on |
52 |
38 |
$78.59 |
| 99152 |
|
30 |
26 |
$33.58 |
| 93016 |
|
12 |
12 |
$21.56 |
| 93018 |
|
12 |
12 |
$14.88 |