Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GKS MILBURN CLINIC LLC

NPI: 1720651904 · MILBURN, OK 73450 · Physician Assistant · NPI assigned 07/23/2021

$127K
Total Medicaid Paid
1,953
Total Claims
1,843
Beneficiaries
15
Codes Billed
2021-11
First Month
2023-07
Last Month

Provider Details

Authorized OfficialKHOURY, STEPHEN (OWNER)
NPI Enumeration Date07/23/2021

Related Entities

Other providers sharing the same authorized official: KHOURY, STEPHEN

ProviderCityStateTotal Paid
GKS CALERA CLINIC LLC CALERA OK $357K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 252 $18K
2022 1,411 $84K
2023 290 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 941 870 $88K
99215 Prolong outpt/office vis 148 138 $21K
87428 258 245 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 98 90 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 109 104 $2K
99443 16 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $697.23
96127 168 168 $662.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 30 $486.59
87807 39 39 $454.35
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $221.80
80305 12 12 $134.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24 24 $56.78
36415 Collection of venous blood by venipuncture 27 24 $55.37
96160 56 56 $0.19