COAL COUNTY GENERAL HOSPITAL
NPI: 1750091500
· COALGATE, OK 74538
· Family Medicine Physician
· NPI assigned 12/02/2022
$336K
Total Medicaid Paid
Provider Details
| Authorized Official | BOURLAND, TRENT (CEO) |
| Parent Organization | COAL COUNTY GENERAL HOSPITAL |
| NPI Enumeration Date | 12/02/2022 |
Related Entities
Other providers sharing the same authorized official: BOURLAND, TRENT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
1,875 |
$179K |
| 2024 |
1,806 |
$158K |
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 |
2,924 |
2,494 |
$297K |
| 99307 |
|
618 |
430 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
129 |
$12K |