NPI: 1689152894 · DURANT, OK 74701 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $867.00 |
| 2021 | 3,222 | $163K |
| 2022 | 6,449 | $282K |
| 2023 | 9,977 | $551K |
| 2024 | 12,344 | $634K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Alcohol and/or drug services | 11,625 | 4,265 | $768K |
| 99214 | 3,832 | 3,352 | $389K | |
| 99308 | 5,116 | 5,075 | $96K | |
| H2017 | Psysoc rehab svc, per 15 min | 1,406 | 400 | $84K |
| 90833 | 1,733 | 1,570 | $78K | |
| 99215 | Prolong outpt/office vis | 407 | 380 | $57K |
| T1017 | Targeted case management | 1,504 | 665 | $39K |
| 90832 | 4,793 | 1,852 | $30K | |
| 99306 | Prolong nursin fac eval 15m | 449 | 449 | $25K |
| 99204 | 108 | 108 | $14K | |
| 99213 | 183 | 170 | $12K | |
| H0031 | Mh health assess by non-md | 125 | 125 | $12K |
| 99309 | 330 | 327 | $11K | |
| H0002 | Alcohol and/or drug screenin | 221 | 221 | $5K |
| 99205 | Prolong outpt/office vis | 29 | 29 | $5K |
| H0032 | Mh svc plan dev by non-md | 50 | 50 | $3K |
| 90791 | 68 | 67 | $1K | |
| 99310 | Prolong nursin fac eval 15m | 15 | 15 | $594.56 |
| 90837 | 16 | 13 | $389.98 |