Medicaid Provider Spending

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

OKLAHOMA PEDIATRIC DIGESTIVE INSTITUTE, PLLC

NPI: 1891470035 · OKLAHOMA CITY, OK 73112 · Pediatric Gastroenterology Physician · NPI assigned 06/15/2023

$36K
Total Medicaid Paid
320
Total Claims
313
Beneficiary Records
2
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAMBAYATI, MARYAM (CEO)
NPI Enumeration Date06/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 65 $8K
2024 255 $28K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 269 262 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 51 51 $7K