MEDICAL CENTER PAIN CLINIC, PLLC
NPI: 1477829554
· OKLAHOMA CITY, OK 73103
· Pain Clinic/Center
· NPI assigned 03/22/2012
$320K
Total Medicaid Paid
Provider Details
| Authorized Official | ELLIS, DAVID (REGISTERED AGENT) |
| NPI Enumeration Date | 03/22/2012 |
Related Entities
Other providers sharing the same authorized official: ELLIS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,841 |
$233K |
| 2019 |
3,003 |
$82K |
| 2020 |
131 |
$4K |
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 |
5,427 |
5,249 |
$209K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
547 |
547 |
$60K |
| 80305 |
|
3,106 |
3,023 |
$34K |
| 99152 |
|
417 |
409 |
$13K |
| 27096 |
|
25 |
24 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
47 |
47 |
$286.38 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
216 |
212 |
$154.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
190 |
186 |
$37.96 |