Medicaid Provider Spending

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

ALTUS PREMIER HEALTH CLINIC P.L.L.C.

NPI: 1528408523 · ALTUS, OK 73521 · Preferred Provider Organization · NPI assigned 07/05/2013

$1.00M
Total Medicaid Paid
18,692
Total Claims
16,985
Beneficiaries
17
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAWOD, ABDALLAH (M.D.)
NPI Enumeration Date07/05/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,688 $90K
2022 6,292 $339K
2023 6,341 $338K
2024 4,371 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,085 10,639 $790K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,166 1,104 $78K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,677 1,627 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,020 995 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 860 805 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 137 137 $13K
36415 Collection of venous blood by venipuncture 923 895 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 184 184 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 153 149 $2K
90686 114 114 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 18 $889.92
99308 Subsequent nursing facility care, per day, straightforward 34 24 $397.09
99307 55 38 $247.65
90688 14 14 $238.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 146 142 $154.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 89 86 $43.12
J0696 Injection, ceftriaxone sodium, per 250 mg 17 14 $33.32