Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC

NPI: 1811295108 · OKLAHOMA CITY, OK 73120 · Obstetrics & Gynecology Physician · NPI assigned 03/10/2011

$55K
Total Medicaid Paid
219
Total Claims
219
Beneficiaries
3
Codes Billed
2021-11
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMCCALLISTER, DARLA (CFO)
Parent OrganizationLAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC
NPI Enumeration Date03/10/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 37 $5K
2022 108 $39K
2023 74 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 15 15 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 189 189 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 15 $1K