NPI: 1487677456 · OKLAHOMA CITY, OK 73102 · Psychologist · NPI assigned 07/25/2006
Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
| Authorized Official | MANUEL, SHASTA (VP FINANCE) |
| NPI Enumeration Date | 07/25/2006 |
Other providers sharing the same authorized official: MANUEL, SHASTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,359 | $159K |
| 2019 | 646 | $41K |
| 2020 | 740 | $51K |
| 2021 | 1,330 | $118K |
| 2022 | 3,339 | $237K |
| 2023 | 1,800 | $149K |
| 2024 | 1,432 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,243 | 7,092 | $596K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,567 | 2,539 | $160K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 449 | 442 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,293 | 1,292 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 321 | 321 | $13K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 39 | 39 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 206 | 206 | $4K |
| 99233 | Prolong inpt eval add15 m | 177 | 67 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 57 | 57 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 41 | 41 | $4K |
| 99318 | 33 | 33 | $3K | |
| 90686 | 55 | 55 | $743.21 | |
| 99307 | 37 | 37 | $526.40 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 14 | 14 | $415.96 |
| 99223 | Prolong inpt eval add15 m | 15 | 15 | $273.35 |
| 90677 | 12 | 12 | $270.28 | |
| 36556 | 15 | 13 | $111.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 12 | 12 | $103.68 |
| 90656 | 12 | 12 | $83.72 | |
| 76937 | 16 | 14 | $18.08 | |
| 96160 | 20 | 20 | $2.36 | |
| 90670 | 12 | 12 | $0.00 |