STATE OF OKLAHOMA
NPI: 1760481899
· LAWTON, OK 73505
· Psychiatry Physician
· NPI assigned 07/20/2005
Provider Details
| Authorized Official | LEE, TERRI (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/20/2005 |
Related Entities
Other providers sharing the same authorized official: LEE, TERRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
75 |
$34K |
| 2020 |
59 |
$23K |
| 2022 |
97 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
122 |
121 |
$55K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
28 |
28 |
$22K |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$1K |
| H2015 |
Comprehensive community support services, per 15 minutes |
69 |
27 |
$0.00 |