NPI: 1780705772 · ADA, OK 74820 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,562 | $192K |
| 2019 | 3,690 | $225K |
| 2020 | 3,395 | $200K |
| 2021 | 3,257 | $228K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,818 | 5,645 | $607K | |
| 90460 | 1,686 | 1,671 | $74K | |
| 99213 | 817 | 703 | $47K | |
| 99392 | 495 | 492 | $46K | |
| 99391 | 418 | 417 | $36K | |
| 96110 | 1,289 | 1,289 | $11K | |
| 87880 | 543 | 520 | $7K | |
| 92587 | 306 | 304 | $6K | |
| 87804 | 132 | 129 | $4K | |
| 96127 | 678 | 678 | $3K | |
| 99215 | Prolong outpt/office vis | 41 | 39 | $3K |
| 87807 | 17 | 17 | $186.40 | |
| 90672 | 85 | 85 | $1.00 | |
| 90670 | 224 | 224 | $0.00 | |
| 90687 | 64 | 63 | $0.00 | |
| 90648 | 41 | 41 | $0.00 | |
| 90685 | 15 | 15 | $0.00 | |
| 90688 | 94 | 94 | $0.00 | |
| 90686 | 30 | 30 | $0.00 | |
| 90680 | 98 | 98 | $0.00 | |
| 90723 | 13 | 13 | $0.00 |