Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PETERSON HEALTHCARE LLC

NPI: 1609414168 · NORMAN, OK 73069 · Family Medicine Physician · NPI assigned 12/16/2019

$453K
Total Medicaid Paid
5,671
Total Claims
5,366
Beneficiaries
14
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETERSON, BRADEN (NURSE PRACTITIONER / OWNER)
NPI Enumeration Date12/16/2019

Related Entities

Other providers sharing the same authorized official: PETERSON, BRADEN

ProviderCityStateTotal Paid
SUNNYLANE MEDICAL CLINIC LLC DEL CITY OK $621K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 110 $11K
2021 754 $70K
2022 1,099 $74K
2023 1,879 $144K
2024 1,829 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,519 1,417 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,982 1,816 $153K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 620 620 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 194 194 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 625 604 $26K
99205 Prolong outpt/office vis 45 45 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 262 256 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 283 283 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 50 $753.52
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14 14 $682.36
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 26 $478.53
87428 16 15 $462.24
92551 13 13 $136.89
99173 13 13 $35.75