NPI: 1548047616 · PONCA CITY, OK 74601 · General Acute Care Hospital · NPI assigned 09/12/2023
Authorized official WALLACE, DONNA controls 14+ related entities in our dataset. Read more
| Authorized Official | WALLACE, DONNA (ASSISTANT TREASURER) |
| NPI Enumeration Date | 09/12/2023 |
Other providers sharing the same authorized official: WALLACE, DONNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| INTEGRIS MIAMI HOSPITAL | MIAMI | OK | $7.24M |
| INTEGRIS CANADIAN VALLEY HOSPITAL | YUKON | OK | $7.12M |
| INTEGRIS BASS BAPTIST HEALTH CENTER | ENID | OK | $6.42M |
| INTEGRIS GROVE HOSPITAL | GROVE | OK | $5.80M |
| INTEGRIS GROVE HOSPITAL | GROVE | OK | $444K |
| INTEGRIS BASS BAPTIST HEALTH CENTER | MEDFORD | OK | $376K |
| INTEGRIS BASS BAPTIST HEALTH CENTER | WAYNOKA | OK | $303K |
| INTEGRIS HEALTH PONCA CITY HOSPITAL INC | PONCA CITY | OK | $79K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | WOODWARD | OK | $71K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | WOODWARD | OK | $68K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | WOODWARD | OK | $32K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | WOODWARD | OK | $19K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | MOORELAND | OK | $6K |
| INTEGRIS HEALTH WOODWARD HOSPITAL INC | WOODWARD | OK | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 10,794 | $818K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 1,025 | 1,000 | $253K | |
| 99283 | 1,461 | 1,439 | $243K | |
| 99285 | 208 | 204 | $69K | |
| 96374 | 463 | 451 | $63K | |
| 80053 | 1,000 | 971 | $39K | |
| 96375 | 331 | 320 | $18K | |
| 74177 | 119 | 119 | $16K | |
| 87635 | 383 | 380 | $16K | |
| 99282 | 131 | 131 | $14K | |
| 96365 | 90 | 90 | $12K | |
| 99281 | 159 | 156 | $10K | |
| 96361 | 168 | 161 | $9K | |
| 87804 | 538 | 268 | $8K | |
| 71045 | 412 | 400 | $8K | |
| 85025 | 1,076 | 1,042 | $7K | |
| 36415 | 556 | 540 | $7K | |
| 96372 | 117 | 116 | $7K | |
| 81001 | 561 | 552 | $3K | |
| 83735 | 555 | 541 | $3K | |
| 84703 | 185 | 183 | $3K | |
| 70450 | 51 | 50 | $2K | |
| 99213 | 19 | 12 | $2K | |
| 83605 | 117 | 112 | $1K | |
| 84484 | 105 | 97 | $1K | |
| 76805 | 13 | 13 | $1K | |
| 87400 | 43 | 42 | $1K | |
| 83690 | 150 | 146 | $821.42 | |
| 93005 | 159 | 150 | $797.15 | |
| 71046 | 14 | 14 | $276.32 | |
| 87430 | 26 | 25 | $224.25 | |
| 87807 | 14 | 14 | $163.10 | |
| 80306 | 12 | 12 | $152.50 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 159 | 154 | $71.84 |
| J7030 | Infusion, normal saline solution , 1000 cc | 124 | 121 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 26 | 24 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 103 | 102 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 94 | 90 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 15 | 13 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 12 | 12 | $0.00 |