Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OKLAHOMA SPINE HOSPITAL LLC

NPI: 1518345248 · OKLAHOMA CITY, OK 73134 · Anesthesiology Physician · NPI assigned 05/14/2015

$30K
Total Medicaid Paid
255
Total Claims
255
Beneficiaries
3
Codes Billed
2023-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialBLAYLOCK, KEVIN (CEO/AO)
NPI Enumeration Date05/14/2015

Related Entities

Other providers sharing the same authorized official: BLAYLOCK, KEVIN

ProviderCityStateTotal Paid
OKLAHOMA SPINE HOSPITAL LLC OKLAHOMA CITY OK $76.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 220 $25K
2024 35 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 218 218 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 25 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $1K