Medicaid Provider Spending

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

SALLISAW MENTAL HEALTH LLC

NPI: 1528614377 · SALLISAW, OK 74955 · Psychiatry Physician · NPI assigned 08/16/2019

$4K
Total Medicaid Paid
38
Total Claims
38
Beneficiaries
2
Codes Billed
2019-10
First Month
2020-02
Last Month

Provider Details

Authorized OfficialFUNSTON, SHAUNNA (MANAGER)
NPI Enumeration Date08/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $3K
2020 13 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $1K