NPI: 1790174993 · IDABEL, OK 74745 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,460 | $203K |
| 2019 | 3,559 | $212K |
| 2020 | 3,266 | $185K |
| 2021 | 4,523 | $267K |
| 2022 | 4,877 | $292K |
| 2023 | 5,142 | $296K |
| 2024 | 3,665 | $223K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 15,024 | 13,087 | $1.07M | |
| 99214 | 1,978 | 1,908 | $196K | |
| 99391 | 1,115 | 1,103 | $96K | |
| 99392 | 890 | 890 | $81K | |
| 90472 | 1,659 | 1,654 | $61K | |
| 99203 | 519 | 515 | $48K | |
| 87635 | 703 | 662 | $34K | |
| 90471 | 1,576 | 1,550 | $28K | |
| 87880 | 1,672 | 1,626 | $24K | |
| 87804 | 638 | 629 | $17K | |
| 99212 | 242 | 201 | $10K | |
| 99215 | Prolong outpt/office vis | 39 | 38 | $5K |
| 90473 | 237 | 237 | $4K | |
| 99401 | 46 | 46 | $1K | |
| 87807 | 79 | 77 | $891.65 | |
| 36416 | 235 | 235 | $602.91 | |
| 99442 | 17 | 17 | $420.75 | |
| 96372 | 27 | 26 | $334.53 | |
| 99173 | 113 | 113 | $295.72 | |
| 90677 | 106 | 106 | $0.00 | |
| 90688 | 12 | 12 | $0.00 | |
| 90680 | 116 | 116 | $0.00 | |
| 90647 | 68 | 68 | $0.00 | |
| 90723 | 38 | 38 | $0.00 | |
| 90697 | 12 | 12 | $0.00 | |
| 90686 | 32 | 32 | $0.00 | |
| 96160 | 800 | 798 | $0.00 | |
| 90710 | 68 | 68 | $0.00 | |
| 90670 | 366 | 366 | $0.00 | |
| 90633 | 65 | 65 | $0.00 |