OKLAHOMA SPINE AND BRAIN INSTITUTE
NPI: 1588625339
· TULSA, OK 74132
· Specialist
· NPI assigned 03/31/2006
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | HARWELL, DANIEL (MANAGING PARTNER) |
| NPI Enumeration Date | 03/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
80 |
$6K |
| 2022 |
646 |
$46K |
| 2023 |
476 |
$39K |
| 2024 |
369 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
445 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
721 |
709 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
120 |
$10K |
| 72110 |
|
234 |
234 |
$9K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 72050 |
|
26 |
26 |
$864.65 |