NPI: 1487017398 · OKMULGEE, OK 74447 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,274 | $105K |
| 2019 | 3,589 | $160K |
| 2020 | 2,577 | $140K |
| 2021 | 4,838 | $305K |
| 2022 | 5,261 | $317K |
| 2023 | 3,891 | $245K |
| 2024 | 2,538 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,665 | 9,802 | $697K | |
| 99214 | 3,533 | 3,362 | $329K | |
| 99203 | 1,584 | 1,583 | $144K | |
| 87811 | 2,816 | 2,648 | $111K | |
| 87804 | 1,436 | 1,408 | $41K | |
| 87636 | 242 | 228 | $34K | |
| 87880 | 1,552 | 1,529 | $22K | |
| 96372 | 1,364 | 1,219 | $20K | |
| 87426 | 353 | 330 | $16K | |
| 99204 | 60 | 60 | $9K | |
| 99212 | 167 | 158 | $8K | |
| 87502 | 84 | 84 | $7K | |
| 99202 | 76 | 76 | $5K | |
| 87428 | 78 | 78 | $4K | |
| 96127 | 347 | 336 | $2K | |
| J3301 | Triamcinolone acet inj nos | 204 | 202 | $479.88 |
| 87807 | 37 | 37 | $431.05 | |
| 99211 | 15 | 14 | $302.92 | |
| 90686 | 33 | 33 | $281.72 | |
| J1100 | Dexamethasone sodium phos | 228 | 226 | $274.62 |
| 36415 | 36 | 36 | $208.12 | |
| J0696 | Ceftriaxone sodium injection | 58 | 57 | $126.71 |