Nurse Practitioner, Family · Elk City, OK
NPI
1013621994
Since 2023
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
1
Medicare group memberships
Hospitals
0
Hospital affiliations
404 S Eastern Ave
Elk City, OK, 73644
Phone (580) 303-5890
Groups this clinician bills Medicare through
Medicare paid, 2024
$285K
5,307 services
Medicare patients, 2024
271
Average age 76
Drug cost, 2024
$40K
793 prescriptions
Company payments, 2025
$17.1
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Mechelle Spikes was code 99308 (snf e&m), 3,806 times for 225 patients. In total Mechelle Spikes billed 5,307 services in 15 codes, and Medicare paid $285K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2023-01-09.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99308 SNF E&M | Office | 3,806 | 225 | $46.97 | $179K |
| 99309 SNF E&M | Office | 1,256 | 192 | $67.72 | $85K |
| 99306 SNF E&M | Office | 185 | 170 | $108.84 | $20K |
| 99203 Office E&M - New | Office | 15 | 15 | $32.04 | $481 |
By year: 2023 $74K for 1,362 services; 2024 $285K for 5,307 services.
Lab tests billed to Medicare, 2023
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 87804 Immunoassay | 26 | 13 | $14.97 | $389 |
| 87426 Immunoassay | 20 | 19 | $29.43 | $589 |
Medicare prescription drug claims, 2024
In 2024, the drug Mechelle Spikes prescribed most often to Medicare patients was Sertraline Hcl, with 100 prescriptions and refills. In total Mechelle Spikes wrote 793 Medicare prescriptions that cost $40K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Sertraline Hcl Generic | 100 | 100 | Under 11 | $1,805 |
| Olanzapine Generic | 93 | 93 | 12 | $2,537 |
| Divalproex Sodium Generic | 82 | 82 | 13 | $4,020 |
| Buspirone Hcl Generic | 66 | 66 | 14 | $781 |
| Risperidone Generic | 47 | 47 | Under 11 | $736 |
| Mirtazapine Generic | 45 | 45 | Under 11 | $872 |
| Fluoxetine Hcl Generic | 35 | 35 | Under 11 | $484 |
| Quetiapine Fumarate Generic | 33 | 33 | Under 11 | $1,106 |
| Trazodone Hcl Generic | 25 | 25 | Under 11 | $342 |
| Aripiprazole Generic | 21 | 21 | Under 11 | $427 |
| Zyprexa Relprevv Olanzapine Pamoate | 19 | 19 | Under 11 | $22K |
| Hydroxyzine Hcl Generic | 17 | 17 | Under 11 | $358 |
| Escitalopram Oxalate Generic | 16 | 16 | Under 11 | $178 |
| Paroxetine Hcl Generic | 14 | 14 | Under 11 | $193 |
| Lorazepam Generic | 14 | 14 | Under 11 | $148 |
Brand drugs: - claims; generic drugs: 766 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Mechelle Spikes $17.1 ($17.1 in general payments such as food, travel and fees) from 1 company. The largest payer was Neurocrine BioSciences, Inc. with $17.1.
| Company | Payments | Amount |
|---|---|---|
| Neurocrine BioSciences, Inc. NBIX | 1 | $17.1 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.