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STILLWATER MEDICAL CENTER AUTHORITY
STILLWATER MEDICAL CENTER AUTHORITY
NPI: 1972005981
· PERRY, OK 73077
· Internal Medicine Physician
· NPI assigned 03/06/2018
$1.38M
Total Medicaid Paid
Provider Details
| Authorized Official | WEBBER, DENISE (CEO) |
| NPI Enumeration Date | 03/06/2018 |
Related Entities
Other providers sharing the same authorized official: WEBBER, DENISE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
211 |
$15K |
| 2019 |
1,797 |
$183K |
| 2020 |
1,608 |
$202K |
| 2021 |
1,782 |
$241K |
| 2022 |
2,078 |
$276K |
| 2023 |
2,148 |
$284K |
| 2024 |
1,580 |
$180K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,503 |
5,900 |
$776K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,639 |
4,319 |
$603K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
29 |
$637.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$149.30 |
| 90656 |
|
12 |
12 |
$41.86 |