NPI: 1942722921 · BROKEN ARROW, OK 74012 · 293D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 246 | $12K |
| 2019 | 271 | $10K |
| 2020 | 221 | $13K |
| 2021 | 1,720 | $91K |
| 2022 | 3,098 | $166K |
| 2023 | 3,951 | $210K |
| 2024 | 743 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72148 | 1,907 | 1,153 | $161K | |
| 73721 | 1,268 | 642 | $118K | |
| 72141 | 838 | 473 | $69K | |
| 73221 | 325 | 173 | $28K | |
| 76705 | 612 | 321 | $24K | |
| 71046 | 1,625 | 993 | $24K | |
| 76700 | 422 | 220 | $23K | |
| 76856 | 348 | 179 | $17K | |
| 70551 | 139 | 83 | $12K | |
| 72100 | 671 | 385 | $11K | |
| 76536 | 220 | 113 | $11K | |
| 73562 | 496 | 211 | $9K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 594 | 557 | $6K |
| 70553 | 28 | 15 | $4K | |
| 72146 | 59 | 38 | $4K | |
| 71250 | 68 | 39 | $4K | |
| 93975 | 13 | 13 | $2K | |
| 74176 | 28 | 15 | $2K | |
| 73030 | 135 | 66 | $2K | |
| 72040 | 108 | 62 | $2K | |
| 76830 | 24 | 12 | $1K | |
| 73630 | 59 | 26 | $848.60 | |
| 72072 | 23 | 12 | $380.11 | |
| A9575 | Inj gadoterate meglumi 0.1ml | 240 | 169 | $48.93 |