NPI: 1740787928 · PRYOR, OK 74361 · Clinic/Center · NPI assigned 04/12/2018
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (EVP) |
| NPI Enumeration Date | 04/12/2018 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 376 | $15K |
| 2019 | 312 | $19K |
| 2021 | 95 | $16K |
| 2022 | 2,263 | $396K |
| 2023 | 2,049 | $376K |
| 2024 | 1,731 | $223K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,381 | 3,188 | $563K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,359 | 2,182 | $410K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 256 | 256 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 52 | 52 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15 | 15 | $3K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27 | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 80 | 80 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 17 | 16 | $462.66 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 56 | 56 | $180.92 |
| 87400 | 82 | 81 | $25.14 | |
| 3078F | 115 | 110 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 28 | 28 | $0.00 |
| 81003 | 13 | 13 | $0.00 | |
| 3008F | 168 | 165 | $0.00 | |
| 3074F | 134 | 130 | $0.00 | |
| 90686 | 19 | 19 | $0.00 | |
| 87428 | 12 | 12 | $0.00 | |
| 87807 | 12 | 12 | $0.00 |