NPI: 1740921014 · IDABEL, OK 74745 · Primary Care Clinic/Center · NPI assigned 04/02/2022
| Authorized Official | SHARROCK, HOLLIE (OWNER) |
| NPI Enumeration Date | 04/02/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 118 | $6K |
| 2023 | 599 | $43K |
| 2024 | 208 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 591 | 517 | $44K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 149 | 149 | $13K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48 | 44 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 30 | 28 | $3K |
| 96127 | 107 | 97 | $412.92 |