NPI: 1942876339 · LAWTON, OK 73505 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2021
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CEO) |
| NPI Enumeration Date | 05/27/2021 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,854 | $272K |
| 2022 | 5,729 | $611K |
| 2023 | 8,211 | $884K |
| 2024 | 5,307 | $617K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,032 | 11,075 | $2.31M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,162 | 3,935 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 861 | 858 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 950 | 869 | $12K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 811 | 786 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 814 | 814 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 325 | 325 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 133 | 133 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 208 | 208 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 318 | 308 | $642.72 |
| 99173 | 1,223 | 1,223 | $370.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 21 | 21 | $308.70 |
| 90723 | 59 | 59 | $0.00 | |
| 99381 | 41 | 41 | $0.00 | |
| 90677 | 75 | 75 | $0.00 | |
| 90647 | 55 | 55 | $0.00 | |
| 90633 | 13 | 13 | $0.00 |