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ALTUS PREMIER HEALTH CLINIC P.L.L.C.
ALTUS PREMIER HEALTH CLINIC P.L.L.C.
NPI: 1528408523
· ALTUS, OK 73521
· 305R00000X
$1.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,688 |
$90K |
| 2022 |
6,292 |
$339K |
| 2023 |
6,341 |
$338K |
| 2024 |
4,371 |
$236K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
12,085 |
10,639 |
$790K |
| 99214 |
|
1,166 |
1,104 |
$78K |
| 87426 |
|
1,677 |
1,627 |
$65K |
| 87804 |
|
1,020 |
995 |
$29K |
| 96372 |
|
860 |
805 |
$15K |
| 99203 |
|
137 |
137 |
$13K |
| 36415 |
|
923 |
895 |
$5K |
| 90471 |
|
184 |
184 |
$3K |
| 87880 |
|
153 |
149 |
$2K |
| 90686 |
|
114 |
114 |
$1K |
| 99212 |
|
18 |
18 |
$889.92 |
| 99308 |
|
34 |
24 |
$397.09 |
| 99307 |
|
55 |
38 |
$247.65 |
| 90688 |
|
14 |
14 |
$238.92 |
| J3301 |
Triamcinolone acet inj nos |
146 |
142 |
$154.74 |
| J1100 |
Dexamethasone sodium phos |
89 |
86 |
$43.12 |
| J0696 |
Ceftriaxone sodium injection |
17 |
14 |
$33.32 |