UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR SOUTHWEST OK FAMILY PRACTICE

NPI: 1790893097 · LAWTON, OK 73507 · Family Medicine Physician · NPI assigned 08/27/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official MADDY, BRIAN controls 13+ related entities in our dataset. Read more

$376K

Total Medicaid Paid

5,321

Total Claims

5,027

Beneficiaries

Codes Billed

2018-01

First Month

2019-07

Last Month

Provider Details

Authorized Official	MADDY, BRIAN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date	08/27/2006

Other providers sharing the same authorized official: MADDY, BRIAN

Provider	City	State	Total Paid
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$43.16M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$15.64M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$10.35M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS	OKLAHOMA CITY	OK	$5.41M
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS LATINO CLINIC	OKC	OK	$2.47M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS	OKLAHOMA CITY	OK	$2.04M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$1.84M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$1.16M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$706K
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS	EDMOND	OK	$140K
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED	OKC	OK	$130K
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA	TULSA	OK	$107K
SOUTH WELLNESS COMMUNITY HEALTH CLINIC	OKLAHOMA CITY	OK	$13K

Year	Claims	Total Paid
2018	3,602	$242K
2019	1,719	$134K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4,247	3,970	$345K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	122	120	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	508	507	$9K
90472	Immunization administration, each additional vaccine (list separately)	133	121	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	151	151	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	15	13	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12	12	$1K
90674		34	34	$693.35
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	42	42	$576.54
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	15	15	$204.00
96160		42	42	$0.00