NPI: 1760069520 · TISHOMINGO, OK 73460 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,242 | $78K |
| 2022 | 7,275 | $610K |
| 2023 | 6,179 | $580K |
| 2024 | 3,612 | $276K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | 686 | 686 | $801K | |
| D7210 | 1,570 | 237 | $196K | |
| D1110 | 2,512 | 2,438 | $116K | |
| D0120 | 3,427 | 3,338 | $73K | |
| D0274 | 1,592 | 1,537 | $49K | |
| D0330 | 886 | 873 | $44K | |
| D1320 | 1,277 | 1,277 | $43K | |
| D1208 | 2,596 | 2,596 | $40K | |
| D2392 | 264 | 167 | $29K | |
| D9310 | 468 | 462 | $23K | |
| D1120 | 734 | 722 | $22K | |
| D7140 | 332 | 74 | $22K | |
| D0470 | 380 | 372 | $14K | |
| D1206 | 563 | 481 | $10K | |
| D5120 | 13 | 13 | $10K | |
| D5110 | 14 | 14 | $10K | |
| D0340 | 138 | 138 | $8K | |
| D2391 | 125 | 79 | $8K | |
| D0150 | 226 | 220 | $7K | |
| D2140 | 98 | 60 | $6K | |
| D2150 | 46 | 34 | $4K | |
| D2393 | 22 | 14 | $3K | |
| D0220 | 119 | 118 | $2K | |
| D0140 | 60 | 60 | $2K | |
| D0272 | 74 | 70 | $1K | |
| D1351 | 45 | 13 | $1K | |
| D9230 | 29 | 26 | $795.76 | |
| D0350 | 12 | 12 | $330.68 |