Medicaid Provider Spending

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

WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC

NPI: 1871843920 · ARDMORE, OK 73401 · Allergy & Immunology Physician · NPI assigned 09/17/2012

$11K
Total Medicaid Paid
644
Total Claims
600
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialFORE, BENJAMIN (DOCTOR)
NPI Enumeration Date09/17/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 644 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 468 431 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 176 169 $1K