IDABEL CHILDREN'S CLINIC, INC.
NPI: 1689985343
· IDABEL, OK 74745
· 261QP2300X
$854K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,246 |
$109K |
| 2019 |
2,283 |
$115K |
| 2020 |
2,090 |
$107K |
| 2021 |
2,515 |
$144K |
| 2022 |
2,539 |
$163K |
| 2023 |
1,779 |
$136K |
| 2024 |
1,168 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,819 |
3,580 |
$386K |
| 99213 |
|
1,581 |
1,502 |
$113K |
| 99392 |
|
951 |
951 |
$89K |
| 90460 |
|
2,221 |
2,143 |
$77K |
| 99391 |
|
710 |
705 |
$62K |
| 99393 |
|
626 |
626 |
$57K |
| 99394 |
|
411 |
411 |
$41K |
| 92551 |
|
1,326 |
1,326 |
$13K |
| 87880 |
|
599 |
577 |
$8K |
| 87804 |
|
189 |
179 |
$3K |
| 99173 |
|
1,037 |
1,037 |
$3K |
| 85018 |
|
327 |
327 |
$701.24 |
| 87807 |
|
16 |
14 |
$186.40 |
| 90670 |
|
327 |
327 |
$0.00 |
| 96160 |
|
161 |
161 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90687 |
|
27 |
27 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90688 |
|
64 |
64 |
$0.00 |
| 90680 |
|
92 |
92 |
$0.00 |
| 90677 |
|
32 |
32 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |