Medicaid Provider Spending

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

STATHEALTH CLINIC PLLC

NPI: 1912298845 · IDABEL, OK 74745 · Primary Care Clinic/Center · NPI assigned 04/26/2011

$1.90M
Total Medicaid Paid
31,416
Total Claims
28,769
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSEYMOUR, KERRI (OWNER)
NPI Enumeration Date04/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,364 $145K
2019 2,325 $131K
2020 2,869 $176K
2021 3,981 $250K
2022 6,271 $383K
2023 7,163 $447K
2024 6,443 $371K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,054 8,018 $778K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,905 9,608 $722K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,161 3,001 $155K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,054 1,053 $97K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 285 285 $40K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,275 1,237 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 815 793 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 327 308 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 885 876 $13K
80305 611 599 $7K
87807 415 402 $5K
99442 55 51 $4K
36415 Collection of venous blood by venipuncture 507 494 $3K
96127 844 832 $3K
99443 23 22 $2K
99491 Ccm add 20min 368 365 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 280 278 $1K
99215 Prolong outpt/office vis 15 13 $680.12
99309 Subsequent nursing facility care, per day, low to moderate complexity 19 19 $669.99
87634 14 13 $490.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $466.40
J0696 Injection, ceftriaxone sodium, per 250 mg 77 77 $102.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg 314 313 $92.10
81025 12 12 $91.92
96160 75 74 $4.08