Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Duncan › NPI 1003151424
Physician

Duncan Rheumatology Center, PLLC

Duncan Rheumatology Center, PLLC was paid $48K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoDUNCAN RHEUMATOLOGY CENTER, PLLC
DUNCAN, OK 73533
33aNPI1003151424assigned 12/11/2012
33bProvider typeRheumatology Physician
28Total paid$48K
24GClaims1,043
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Oklahoma

Rank by total paid#3 of 8
Median peer was paid$19K
This provider vs. median2.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018137$5K
2019108$5K
202081$3K
2021107$4K
2022295$13K
2023208$11K
2024incomplete107$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 84% 778 777 $40K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 95 95 $7K
20610 <1% 14 13 $344.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 27 27 $95.85
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 12 $73.05
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 116 113 $0.01

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSHULTZ, AMY (PHYSICIAN/OWNER)