NPI: 1497038327 · EDMOND, OK 73013 · Clinic/Center · NPI assigned 09/27/2011
Authorized official MADDY, BRIAN controls 13+ related entities in our dataset. Read more
| Authorized Official | MADDY, BRIAN (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 09/27/2011 |
Other providers sharing the same authorized official: MADDY, BRIAN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 583 | $36K |
| 2019 | 681 | $49K |
| 2020 | 400 | $37K |
| 2021 | 178 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,021 | 959 | $113K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 445 | 441 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 42 | 42 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 125 | 124 | $4K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12 | 12 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14 | 14 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 156 | 156 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13 | 13 | $759.85 |
| 90686 | 14 | 14 | $0.01 |