NPI: 1790270502 · LAWTON, OK 73505 · Federally Qualified Health Center (FQHC) · NPI assigned 06/25/2018
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CEO) |
| NPI Enumeration Date | 06/25/2018 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 447 | $53K |
| 2019 | 1,765 | $213K |
| 2020 | 1,066 | $152K |
| 2021 | 1,102 | $173K |
| 2022 | 1,828 | $266K |
| 2023 | 1,839 | $262K |
| 2024 | 573 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,514 | 5,992 | $1.20M |
| 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 | 445 | 410 | $14K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 806 | 801 | $1K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 699 | 664 | $233.56 |
| 99173 | 15 | 15 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 36 | 34 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 42 | 40 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12 | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 51 | 51 | $0.00 |