COMANCHE NEPHROLOGY PC
NPI: 1689863946
· LAWTON, OK 73505
· Nephrology Physician
· NPI assigned 10/23/2007
Provider Details
| Authorized Official | SODAM, BALI (PHYSICIAN) |
| NPI Enumeration Date | 10/23/2007 |
Related Entities
Other providers sharing the same authorized official: SODAM, BALI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$6K |
| 2022 |
101 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
115 |
115 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$580.12 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$539.99 |