Medicaid Provider Spending

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

MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC

NPI: 1629020995 · EDMOND, OK 73034 · Vascular & Interventional Radiology Physician · NPI assigned 05/16/2006

$23K
Total Medicaid Paid
722
Total Claims
710
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBEALL, DOUGLAS (CHIEF OF SERVICES)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $3K
2019 120 $1K
2020 145 $1K
2021 94 $1K
2022 25 $697.26
2023 50 $4K
2024 122 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91 81 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 43 $6K
62369 265 263 $4K
76942 228 228 $3K
62370 40 40 $962.62
99152 55 55 $368.71