INTEGRIS DDSI ENDOSCOPY CENTERS LLC
NPI: 1760074207
· OKLAHOMA CITY, OK 73109
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/05/2021
$1.42M
Total Medicaid Paid
Provider Details
| Authorized Official | WEED, MIKE (VP FINANCE) |
| NPI Enumeration Date | 02/05/2021 |
Related Entities
Other providers sharing the same authorized official: WEED, MIKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,000 |
$255K |
| 2022 |
1,684 |
$488K |
| 2023 |
1,675 |
$493K |
| 2024 |
610 |
$180K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,082 |
2,082 |
$458K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,180 |
1,180 |
$454K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
851 |
851 |
$255K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
817 |
814 |
$244K |
| 43248 |
|
27 |
27 |
$5K |
| 43235 |
|
12 |
12 |
$1K |