SDO GROUP LLC
NPI: 1811366032
· SKIATOOK, OK 74070
· Family Medicine Physician
· NPI assigned 09/17/2015
$216K
Total Medicaid Paid
Provider Details
| Authorized Official | SUBERA, LAYNE (OWNER) |
| NPI Enumeration Date | 09/17/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
299 |
$17K |
| 2022 |
1,237 |
$85K |
| 2023 |
924 |
$67K |
| 2024 |
625 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,598 |
1,437 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
1,015 |
$80K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
333 |
330 |
$9K |
| 80305 |
|
31 |
30 |
$347.51 |