NPI: 1881689289 · HUGO, OK 74743 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,060 | $269K |
| 2019 | 5,521 | $289K |
| 2020 | 3,990 | $228K |
| 2021 | 8,512 | $375K |
| 2022 | 9,467 | $564K |
| 2023 | 9,191 | $441K |
| 2024 | 5,250 | $261K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 20,162 | 14,551 | $1.63M | |
| 99284 | 2,059 | 1,994 | $430K | |
| 99282 | 1,065 | 671 | $64K | |
| 87635 | 1,266 | 1,257 | $59K | |
| 80053 | 3,484 | 3,255 | $34K | |
| 87502 | 347 | 347 | $28K | |
| 85025 | 3,540 | 2,942 | $24K | |
| 36415 | 4,651 | 3,749 | $21K | |
| 71045 | 1,334 | 1,261 | $14K | |
| 99285 | 62 | 59 | $13K | |
| 70450 | 218 | 215 | $10K | |
| 96365 | 93 | 92 | $10K | |
| 80305 | 723 | 711 | $8K | |
| 87804 | 521 | 259 | $7K | |
| 81001 | 2,129 | 2,075 | $6K | |
| 84484 | 514 | 371 | $6K | |
| 84443 | 394 | 386 | $5K | |
| 96375 | 141 | 111 | $5K | |
| 87811 | 101 | 99 | $4K | |
| 96374 | 37 | 37 | $4K | |
| 82553 | 351 | 253 | $3K | |
| 87651 | 97 | 97 | $3K | |
| 96372 | 43 | 39 | $3K | |
| 83880 | 82 | 70 | $3K | |
| 80048 | 332 | 204 | $3K | |
| 96367 | 28 | 13 | $3K | |
| 87426 | 56 | 55 | $2K | |
| 82550 | 417 | 304 | $2K | |
| 74177 | 12 | 12 | $2K | |
| 83690 | 377 | 346 | $2K | |
| 93005 | 367 | 293 | $2K | |
| 83735 | 372 | 347 | $2K | |
| 96361 | 36 | 36 | $2K | |
| 84439 | 239 | 231 | $2K | |
| 82150 | 316 | 278 | $2K | |
| 80061 | 117 | 117 | $1K | |
| 83036 | 139 | 139 | $1K | |
| 87880 | 58 | 57 | $815.13 | |
| 94640 | 24 | 12 | $782.85 | |
| 82977 | 118 | 109 | $729.25 | |
| 81025 | 84 | 84 | $572.85 | |
| 82465 | 107 | 103 | $374.73 | |
| 85027 | 35 | 26 | $201.25 | |
| 71046 | 13 | 13 | $179.98 | |
| 85610 | 39 | 37 | $129.96 | |
| 85007 | 35 | 26 | $118.30 | |
| J2405 | Ondansetron hcl injection | 19 | 13 | $7.56 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 16 | 14 | $0.00 |
| J7030 | Normal saline solution infus | 171 | 136 | $0.00 |
| J7050 | Normal saline solution infus | 21 | 12 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 29 | 13 | $0.00 |