TOTAL PRIMARY CARE PC
NPI: 1548788698
· OKLAHOMA CITY, OK 73112
· Primary Care Clinic/Center
· NPI assigned 09/08/2017
$449K
Total Medicaid Paid
Provider Details
| Authorized Official | PORRAS, XIOMARA (PROVIDER) |
| NPI Enumeration Date | 09/08/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$3K |
| 2020 |
272 |
$22K |
| 2021 |
659 |
$63K |
| 2022 |
1,437 |
$154K |
| 2023 |
1,461 |
$156K |
| 2024 |
484 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,124 |
3,538 |
$422K |
| 99205 |
Prolong outpt/office vis |
84 |
84 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
119 |
$10K |