NEXT GENERATION FAMILY MEDICAL CLINIC, LLC
NPI: 1548646052
· WAGONER, OK 74467
· General Practice Physician
· NPI assigned 08/06/2015
$156K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
821 |
$46K |
| 2019 |
737 |
$47K |
| 2020 |
704 |
$35K |
| 2021 |
379 |
$24K |
| 2022 |
46 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,379 |
1,244 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
792 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
270 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
50 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$796.80 |