NPI: 1629604434 · COWETA, OK 74429 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 11,886 | $679K |
| 2022 | 48,721 | $2.97M |
| 2023 | 59,753 | $4.03M |
| 2024 | 51,047 | $3.41M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 51,188 | 50,823 | $3.90M | |
| 99203 | 23,899 | 23,897 | $2.26M | |
| 99214 | 20,469 | 20,374 | $2.21M | |
| 87426 | 25,821 | 25,625 | $1000K | |
| 99204 | 5,775 | 5,774 | $814K | |
| 87428 | 12,605 | 12,574 | $368K | |
| 87880 | 18,628 | 18,588 | $272K | |
| 87804 | 5,172 | 5,158 | $105K | |
| 99211 | 4,880 | 4,808 | $96K | |
| 99212 | 454 | 452 | $22K | |
| 81025 | 1,120 | 1,117 | $9K | |
| 99215 | Prolong outpt/office vis | 55 | 55 | $9K |
| 87807 | 540 | 540 | $6K | |
| 71046 | 158 | 158 | $4K | |
| 99202 | 63 | 63 | $4K | |
| 96372 | 209 | 207 | $3K | |
| 81003 | 286 | 286 | $570.20 | |
| 94640 | 42 | 42 | $343.14 | |
| 86308 | 16 | 16 | $73.76 | |
| J7620 | Albuterol ipratrop non-comp | 27 | 27 | $4.05 |