SOUTHEAST OKLAHOMA MEDICAL CLINIC, LLC
NPI: 1467993253
· MCALESTER, OK 74501
· Primary Care Clinic/Center
· NPI assigned 03/14/2017
$234K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
34 |
$2K |
| 2019 |
153 |
$10K |
| 2020 |
355 |
$25K |
| 2021 |
825 |
$62K |
| 2022 |
577 |
$45K |
| 2023 |
605 |
$49K |
| 2024 |
490 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,280 |
2,037 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
596 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
77 |
75 |
$202.92 |