NPI: 1497012017 · MIDWEST CITY, OK 73110 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,749 | $184K |
| 2019 | 1,205 | $81K |
| 2020 | 389 | $34K |
| 2021 | 45 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,751 | 2,441 | $231K | |
| 99233 | Prolong inpt eval add15 m | 841 | 312 | $35K |
| 99204 | 105 | 105 | $14K | |
| 99223 | Prolong inpt eval add15 m | 60 | 59 | $6K |
| 99203 | 39 | 39 | $4K | |
| 90471 | 189 | 189 | $3K | |
| 87880 | 239 | 235 | $3K | |
| 99213 | 51 | 51 | $3K | |
| 90472 | 41 | 41 | $1K | |
| 99394 | 12 | 12 | $1K | |
| 99239 | 12 | 12 | $619.18 | |
| 36415 | 35 | 33 | $84.47 | |
| 99051 | 13 | 13 | $81.12 |