Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ELK CITY
› LONG JACKET PLLC
LONG JACKET PLLC
NPI: 1881187805 · ELK CITY, OK 73644 ·
207Q00000X
$191K
Total Medicaid Paid
3,320
Total Claims
3,076
Beneficiaries
13
Codes Billed
2019-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
350
$14K
2020
571
$20K
2021
688
$36K
2022
717
$44K
2023
587
$44K
2024
407
$34K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
1,505
1,335
$120K
99213
911
868
$52K
90471
397
378
$7K
87811
83
78
$3K
99391
25
24
$2K
96110
240
240
$2K
99204
14
14
$2K
90472
41
40
$1K
87804
52
47
$749.78
90682
12
12
$567.00
87880
16
16
$223.56
90686
12
12
$0.00
90670
12
12
$0.00