Medicaid Provider Spending

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

STOVER FAMILY CLINIC

NPI: 1922467505 · BROKEN BOW, OK 74728 · Health Service Clinic/Center · NPI assigned 02/11/2016

$600K
Total Medicaid Paid
9,644
Total Claims
8,754
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTOVER, REBECCA (OWNER)
NPI Enumeration Date02/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,220 $82K
2019 1,082 $64K
2020 1,170 $66K
2021 1,388 $90K
2022 1,777 $115K
2023 1,812 $112K
2024 1,195 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,938 5,230 $413K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 866 782 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 891 843 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 265 265 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 521 504 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 107 107 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 461 446 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 142 138 $7K
86328 88 86 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 80 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 99 89 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
36415 Collection of venous blood by venipuncture 41 41 $293.37
36416 88 86 $234.96
90686 19 19 $53.46
96160 14 14 $0.00
90688 12 12 $0.00