NPI: 1467995589 · MOORE, OK 73160 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,308 | $182K |
| 2019 | 4,304 | $221K |
| 2020 | 4,124 | $234K |
| 2021 | 7,443 | $465K |
| 2022 | 10,069 | $665K |
| 2023 | 17,283 | $1.01M |
| 2024 | 12,986 | $755K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,214 | 12,420 | $1.36M | |
| 99213 | 6,608 | 6,431 | $503K | |
| 99203 | 4,934 | 4,921 | $459K | |
| 99204 | 2,796 | 2,795 | $405K | |
| 87426 | 9,491 | 9,227 | $349K | |
| 87804 | 9,441 | 9,232 | $266K | |
| 87880 | 3,928 | 3,878 | $57K | |
| 87430 | 2,854 | 2,783 | $42K | |
| 87811 | 995 | 943 | $41K | |
| 96372 | 1,974 | 1,886 | $30K | |
| 99051 | 1,866 | 1,817 | $12K | |
| 87807 | 388 | 383 | $4K | |
| 87635 | 29 | 29 | $1K | |
| 90471 | 78 | 78 | $1K | |
| J1100 | Dexamethasone sodium phos | 810 | 780 | $957.33 |
| 90756 | 74 | 74 | $860.75 | |
| 87428 | 13 | 13 | $382.07 | |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $19.20 |
| J0696 | Ceftriaxone sodium injection | 12 | 12 | $18.44 |