TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC
NPI: 1780808980
· TAHLEQUAH, OK 74464
· 174400000X
$207K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,636 |
$67K |
| 2019 |
1,965 |
$41K |
| 2020 |
1,115 |
$16K |
| 2021 |
1,129 |
$17K |
| 2022 |
1,179 |
$24K |
| 2023 |
1,355 |
$20K |
| 2024 |
1,056 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
7,021 |
6,749 |
$107K |
| 80307 |
|
1,095 |
1,033 |
$62K |
| 99214 |
|
1,295 |
1,255 |
$26K |
| 20611 |
|
862 |
772 |
$12K |
| J1030 |
Methylprednisolone 40 mg inj |
58 |
53 |
$250.04 |
| 76942 |
|
54 |
54 |
$249.14 |
| 20553 |
|
12 |
12 |
$68.04 |
| J0702 |
Betamethasone acet&sod phosp |
24 |
24 |
$39.83 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$34.87 |