DERMATOLOGY & ALLERGY SOLUTIONS LLC

NPI: 1619371473 · BROKEN ARROW, OK 74012 · Multi-Specialty Clinic/Center · NPI assigned 10/22/2014

$26K

Total Medicaid Paid

533

Total Claims

515

Beneficiaries

Codes Billed

2018-01

First Month

2018-03

Last Month

Provider Details

Authorized Official	FERRELL, CANNEN (CEO)
NPI Enumeration Date	10/22/2014

Other providers sharing the same authorized official: FERRELL, CANNEN

Provider	City	State	Total Paid
ACCESS PAIN SOLUTIONS	TULSA	OK	$13.10M
ACCESS MEDICAL AFFORDABLE FAMILY HEALTHCARE, LLC	TULSA	OK	$2.00M
ACCESS SOLUTIONS MEDICAL GROUP II	OKMULGEE	OK	$1.07M

Year	Claims	Total Paid
2018	533	$26K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	234	230	$14K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	107	107	$6K
17004		45	36	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	57	56	$2K
17000		18	16	$920.81
36415	Collection of venous blood by venipuncture	55	55	$136.14
17003		17	15	$71.83