ORTHO PLUS, LLC
NPI: 1962861625
· EDMOND, OK 73034
· Medical Specialty Clinic/Center
· NPI assigned 02/23/2016
$306K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLLIMAN, BRENT (AUTH OFFICIAL) |
| NPI Enumeration Date | 02/23/2016 |
Related Entities
Other providers sharing the same authorized official: HOLLIMAN, BRENT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
234 |
$18K |
| 2022 |
1,370 |
$100K |
| 2023 |
1,321 |
$100K |
| 2024 |
1,102 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,257 |
$211K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
708 |
708 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
153 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
91 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
140 |
132 |
$1K |
| 73110 |
|
19 |
13 |
$664.24 |
| 73630 |
|
15 |
12 |
$442.65 |
| 73130 |
|
13 |
12 |
$412.23 |