NPI: 1851839096 · LAWTON, OK 73501 · Federally Qualified Health Center (FQHC) · NPI assigned 02/08/2017
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CHIEF EXECTIVE OFFICER) |
| NPI Enumeration Date | 02/08/2017 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,611 | $164K |
| 2019 | 1,832 | $206K |
| 2020 | 3,198 | $369K |
| 2021 | 4,544 | $494K |
| 2022 | 4,312 | $478K |
| 2023 | 2,774 | $334K |
| 2024 | 2,758 | $357K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,826 | 11,286 | $2.37M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,462 | 4,962 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 917 | 837 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,116 | 1,070 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 91 | 91 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 45 | 45 | $1K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 16 | 13 | $481.00 |
| 90474 | 12 | 12 | $165.00 | |
| 36415 | Collection of venous blood by venipuncture | 136 | 134 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 13 | 13 | $0.00 |
| 90680 | 13 | 13 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 238 | 238 | $0.00 |
| 99173 | 67 | 67 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 14 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 28 | 28 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23 | 22 | $0.00 |