Medicaid Provider Spending

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

CARRUS LAKESIDE HOSPITAL LLC

NPI: 1538921184 · BRISTOW, OK 74010 · Internal Medicine Physician · NPI assigned 01/29/2024

$51K
Total Medicaid Paid
802
Total Claims
732
Beneficiaries
3
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNACHIMUTHU, ANBU (CHAIRMAN & CEO)
NPI Enumeration Date01/29/2024

Related Entities

Other providers sharing the same authorized official: NACHIMUTHU, ANBU

ProviderCityStateTotal Paid
CARRUS CARE PHYSICIANS GROUP INC. CLINTON OK $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 802 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 673 666 $43K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 103 40 $6K
99284 Emergency department visit for the evaluation and management, high severity 26 26 $3K