NPI: 1982790390 · TULSA, OK 74104 · 261QM2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 90 | $1K |
| 2022 | 560 | $9K |
| 2023 | 2,071 | $81K |
| 2024 | 6,250 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90716 | 467 | 462 | $58K | |
| 90471 | 2,427 | 2,382 | $42K | |
| 90472 | 1,178 | 1,129 | $35K | |
| 91320 | 249 | 249 | $25K | |
| H0004 | Alcohol and/or drug services | 258 | 116 | $13K |
| 90480 | 308 | 308 | $12K | |
| 90715 | 696 | 696 | $11K | |
| 90746 | 223 | 221 | $11K | |
| 99211 | 428 | 358 | $8K | |
| 90707 | 109 | 107 | $5K | |
| 90713 | 247 | 245 | $4K | |
| 90651 | 129 | 128 | $4K | |
| 92579 | 86 | 84 | $3K | |
| 92507 | 48 | 28 | $3K | |
| 92587 | 143 | 139 | $3K | |
| 92567 | 121 | 117 | $2K | |
| 90686 | 383 | 383 | $2K | |
| 92552 | 43 | 42 | $1K | |
| 92550 | 65 | 65 | $1K | |
| 90714 | 86 | 86 | $1K | |
| 36415 | 170 | 162 | $1K | |
| 90633 | 274 | 273 | $856.98 | |
| 90632 | 12 | 12 | $780.00 | |
| 71046 | 24 | 24 | $691.12 | |
| 0124A | 15 | 15 | $600.00 | |
| 90620 | 12 | 12 | $588.58 | |
| 92593 | 14 | 14 | $570.82 | |
| J1050 | Medroxyprogesterone acetate | 15 | 15 | $350.88 |
| T1001 | Nursing assessment/evaluatn | 15 | 15 | $311.10 |
| 90677 | 48 | 48 | $240.00 | |
| 81025 | 30 | 29 | $229.80 | |
| 90619 | 92 | 92 | $155.65 | |
| 96110 | 12 | 12 | $107.64 | |
| 90744 | 90 | 89 | $57.62 | |
| 90696 | 95 | 95 | $0.00 | |
| 91319 | 16 | 16 | $0.00 | |
| 90656 | 58 | 58 | $0.00 | |
| 90723 | 25 | 25 | $0.00 | |
| 90697 | 36 | 36 | $0.00 | |
| 90710 | 198 | 197 | $0.00 | |
| 91312 | 14 | 14 | $0.00 | |
| 90700 | 12 | 12 | $0.00 |