Medicaid Provider Spending

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

KIAMICHI FAMILY MEDICAL CENTER, INC

NPI: 1780172916 · BROKEN BOW, OK 74728 · Federally Qualified Health Center (FQHC) · NPI assigned 04/24/2018

$871K
Total Medicaid Paid
9,505
Total Claims
8,620
Beneficiaries
7
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILBREATH, AMY (CEO)
NPI Enumeration Date04/24/2018

Related Entities

Other providers sharing the same authorized official: GILBREATH, AMY

ProviderCityStateTotal Paid
KIAMICHI FAMILY MEDICAL CENTER INC. IDABEL OK $2.92M
KIAMICHI FAMILY MEDICAL CENTER, INC HUGO OK $1.59M
KIAMICHI FAMILY MEDICAL CENTER INC. BROKEN BOW OK $1.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 326 $19K
2019 837 $61K
2020 739 $56K
2021 1,444 $138K
2022 2,118 $203K
2023 2,490 $226K
2024 1,551 $169K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,171 3,792 $811K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,993 1,696 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,071 1,916 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 944 893 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57 57 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 47 47 $736.00
36415 Collection of venous blood by venipuncture 222 219 $109.90