Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
OK
›
PAULS VALLEY
› REDEEMED AND RESTORED WELLNESS
REDEEMED AND RESTORED WELLNESS
NPI: 1578279006 · PAULS VALLEY, OK 73075 ·
363L00000X
$153K
Total Medicaid Paid
2,216
Total Claims
1,996
Beneficiaries
9
Codes Billed
2023-08
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
655
$48K
2024
1,561
$105K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
767
639
$80K
99213
314
282
$24K
99204
160
160
$23K
87635
261
246
$13K
87804
229
219
$7K
87880
283
265
$4K
96127
174
157
$1K
87400
16
16
$402.24
36415
12
12
$90.20