PRAGUE HEALTHCARE AUTHORITY
NPI: 1881923290
· PRAGUE, OK 74864
· Rural Health Clinic/Center
· NPI assigned 12/14/2009
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | DYER, DIANNE (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 12/14/2009 |
Related Entities
Other providers sharing the same authorized official: DYER, DIANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
718 |
$44K |
| 2019 |
1,261 |
$100K |
| 2020 |
879 |
$96K |
| 2021 |
1,252 |
$176K |
| 2022 |
1,396 |
$260K |
| 2023 |
1,677 |
$343K |
| 2024 |
1,427 |
$351K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,773 |
7,188 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
533 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
217 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$3K |
| 90686 |
|
17 |
17 |
$2K |
| 80305 |
|
13 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |