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FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC
NPI: 1659797314
· ATOKA, OK 74525
· Federally Qualified Health Center (FQHC)
· NPI assigned 03/05/2014
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | WELLS, ASHLEY (CREDENTIALING OFFICER) |
| Parent Organization | FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC |
| NPI Enumeration Date | 03/05/2014 |
Related Entities
Other providers sharing the same authorized official: WELLS, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,290 |
$216K |
| 2019 |
1,726 |
$168K |
| 2020 |
1,011 |
$110K |
| 2021 |
1,602 |
$206K |
| 2022 |
2,369 |
$310K |
| 2023 |
2,663 |
$364K |
| 2024 |
1,615 |
$230K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,178 |
6,553 |
$1.57M |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
666 |
552 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,062 |
3,669 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
329 |
$285.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |