Medicaid Provider Spending

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

MEDOK MUSTANG, LLC

NPI: 1831553817 · YUKON, OK 73099 · Family Medicine Physician · NPI assigned 04/06/2016

$1.45M
Total Medicaid Paid
23,958
Total Claims
23,709
Beneficiaries
8
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFREEMAN, DERRICK (OWNER)
NPI Enumeration Date04/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,634 $172K
2022 8,111 $496K
2023 7,499 $437K
2024 5,714 $341K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,434 6,350 $691K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,328 4,276 $326K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,632 3,602 $140K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,885 2,850 $82K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 843 843 $80K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,390 5,343 $79K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 276 276 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 170 169 $8K