NPI: 1689179715 · LAWTON, OK 73505 · Non-Pharmacy Dispensing Site
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 236 | $17K |
| 2019 | 777 | $48K |
| 2020 | 1,168 | $65K |
| 2021 | 1,805 | $86K |
| 2022 | 2,698 | $129K |
| 2023 | 2,131 | $89K |
| 2024 | 1,147 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,216 | 3,198 | $219K | |
| 99204 | 644 | 644 | $70K | |
| 96413 | 1,190 | 1,105 | $63K | |
| 99215 | Prolong outpt/office vis | 699 | 696 | $58K |
| 99213 | 310 | 310 | $18K | |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 13 | 12 | $15K |
| 80053 | 1,001 | 993 | $9K | |
| 85025 | 1,000 | 991 | $7K | |
| 96365 | 175 | 165 | $5K | |
| 80074 | 64 | 64 | $2K | |
| 86140 | 518 | 516 | $2K | |
| 96415 | 128 | 119 | $2K | |
| 99205 | Prolong outpt/office vis | 17 | 17 | $2K |
| 86200 | 133 | 133 | $1K | |
| 86812 | 49 | 49 | $1K | |
| 86038 | 62 | 62 | $655.75 | |
| 85651 | 134 | 134 | $504.36 | |
| 86704 | 52 | 52 | $503.84 | |
| 86706 | 52 | 52 | $448.85 | |
| 36415 | 101 | 101 | $383.28 | |
| 86431 | 79 | 79 | $372.96 | |
| 96401 | 28 | 25 | $354.65 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 136 | 135 | $333.63 |
| 84550 | 71 | 71 | $265.32 | |
| 83516 | 12 | 12 | $215.46 | |
| 82550 | 25 | 25 | $133.17 | |
| 85652 | 41 | 41 | $93.60 | |
| 96372 | 12 | 12 | $42.38 |