NPI: 1659998938 · COWETA, OK 74429 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 659 | $40K |
| 2021 | 3,315 | $254K |
| 2022 | 3,523 | $285K |
| 2023 | 3,299 | $275K |
| 2024 | 2,221 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,549 | 1,487 | $296K | |
| 99213 | 2,019 | 1,924 | $265K | |
| 99391 | 1,074 | 1,025 | $173K | |
| 99392 | 970 | 970 | $166K | |
| 90460 | 1,825 | 1,818 | $84K | |
| 99393 | 195 | 195 | $33K | |
| U0002 | Covid-19 lab test non-cdc | 173 | 167 | $9K |
| 96161 | 1,016 | 922 | $5K | |
| 90471 | 171 | 171 | $3K | |
| 99394 | 12 | 12 | $2K | |
| 36415 | 378 | 377 | $2K | |
| 90473 | 70 | 70 | $788.62 | |
| 96110 | 40 | 40 | $647.72 | |
| 87880 | 38 | 38 | $558.60 | |
| 96127 | 50 | 50 | $383.80 | |
| 96380 | 13 | 13 | $254.54 | |
| 90686 | 648 | 646 | $77.81 | |
| 96160 | 817 | 817 | $24.84 | |
| 90656 | 85 | 85 | $0.17 | |
| 90698 | 473 | 473 | $0.00 | |
| 90744 | 187 | 187 | $0.00 | |
| 90677 | 154 | 154 | $0.00 | |
| 90680 | 370 | 370 | $0.00 | |
| 90670 | 600 | 600 | $0.00 | |
| 90633 | 64 | 64 | $0.00 | |
| 99421 | 26 | 23 | $0.00 |