THE SPINE AND PAIN CENTER LLC
NPI: 1689144602
· TULSA, OK 74104
· 207LP2900X
$161K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
178 |
$2K |
| 2020 |
210 |
$4K |
| 2021 |
581 |
$11K |
| 2022 |
1,531 |
$39K |
| 2023 |
1,469 |
$24K |
| 2024 |
1,423 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,045 |
2,906 |
$79K |
| 99214 |
|
775 |
741 |
$46K |
| 99204 |
|
264 |
261 |
$29K |
| 64483 |
|
12 |
12 |
$2K |
| 99203 |
|
13 |
13 |
$1K |
| G3002 |
Chronic pain mgmt 30 mins |
139 |
139 |
$1K |
| 98980 |
|
99 |
99 |
$724.66 |
| 98977 |
|
55 |
55 |
$635.56 |
| 98981 |
|
54 |
54 |
$405.31 |
| J1100 |
Dexamethasone sodium phos |
474 |
465 |
$311.14 |
| G2211 |
Complex e/m visit add on |
124 |
115 |
$152.28 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
338 |
333 |
$102.35 |