MEDOK MUSTANG, LLC
NPI: 1831553817
· YUKON, OK 73099
· Family Medicine Physician
· NPI assigned 04/06/2016
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | FREEMAN, DERRICK (OWNER) |
| NPI Enumeration Date | 04/06/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,634 |
$172K |
| 2022 |
8,111 |
$496K |
| 2023 |
7,499 |
$437K |
| 2024 |
5,714 |
$341K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,434 |
6,350 |
$691K |
| 99213 |
|
4,328 |
4,276 |
$326K |
| 87426 |
|
3,632 |
3,602 |
$140K |
| 87804 |
|
2,885 |
2,850 |
$82K |
| 99203 |
|
843 |
843 |
$80K |
| 87880 |
|
5,390 |
5,343 |
$79K |
| 99204 |
|
276 |
276 |
$40K |
| 87635 |
|
170 |
169 |
$8K |