Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDMOND AM CLINIC LLC

NPI: 1760655773 · EDMOND, OK 73013 · Family Medicine Physician · NPI assigned 04/10/2008

$84K
Total Medicaid Paid
1,569
Total Claims
1,494
Beneficiaries
12
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialBUFFINGTON, BILL (MEDICAL DIRECTOR)
NPI Enumeration Date04/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,569 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 796 743 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 275 262 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 56 55 $5K
99050 101 95 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 41 40 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 71 70 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
80305 24 24 $268.28
36415 Collection of venous blood by venipuncture 98 98 $240.47
99173 19 19 $46.93
96160 62 62 $0.00