INTEGRIS BASS BAPTIST HEALTH CENTER
NPI: 1730180894
· MEDFORD, OK 73759
· Family Medicine Physician
· NPI assigned 08/10/2005
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WALLACE, DONNA controls 14+ related entities in our dataset. Read more
$376K
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, DONNA (ASSISTANT TREASURER) |
| NPI Enumeration Date | 08/10/2005 |
Related Entities
Other providers sharing the same authorized official: WALLACE, DONNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
548 |
$39K |
| 2019 |
537 |
$37K |
| 2020 |
470 |
$34K |
| 2021 |
634 |
$41K |
| 2022 |
999 |
$76K |
| 2023 |
840 |
$78K |
| 2024 |
570 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,326 |
3,045 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,015 |
979 |
$91K |
| 99307 |
|
166 |
166 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
44 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99442 |
|
14 |
14 |
$811.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$341.28 |