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SOUTHERN OKLAHOMA UROLOGY, INC
SOUTHERN OKLAHOMA UROLOGY, INC
NPI: 1528254109
· ADA, OK 74820
· Medical Specialty Clinic/Center
· NPI assigned 09/18/2007
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | DIACON, GLEN (PRESIDENT) |
| NPI Enumeration Date | 09/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
436 |
$13K |
| 2019 |
511 |
$19K |
| 2020 |
611 |
$33K |
| 2021 |
586 |
$32K |
| 2022 |
657 |
$38K |
| 2023 |
945 |
$80K |
| 2024 |
647 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,099 |
3,007 |
$124K |
| 50590 |
|
279 |
277 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
435 |
435 |
$37K |
| 74420 |
|
531 |
511 |
$7K |
| 52000 |
|
36 |
36 |
$2K |
| 76000 |
|
13 |
12 |
$9.36 |