Physician
Seminole HMPN, LLC
Seminole HMPN, LLC was paid $11K by Medicaid between Mar 2018 and Apr 2022, across 6 billing codes. Its largest line is 00851, — 32% of everything it billed.
33Billing provider infoSEMINOLE HMPN, LLC
SEMINOLE, OK 74868
SEMINOLE, OK 74868
33aNPI1003187113assigned 01/20/2012
33bProvider typeFamily Medicine Physician
28Total paid$11K
24GClaims478
24DCodes billed6
24AFirst – last monthMar 2018 – Apr 2022
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#275 of 351
Median peer was paid$153K
This provider vs. median0.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GINGRAS, MICHAEL controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 316 | $7K | |
| 2019 | 111 | $2K | |
| 2022 | 51 | $853.47 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00851 | 32% | 13 | 13 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 239 | 212 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | 16% | 90 | 89 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 71 | 39 | $1K |
| 97597 | 8.1% | 51 | 27 | $853.47 | |
| 99223 | Prolong inpt eval add15 m | 7.0% | 14 | 14 | $737.10 |
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 officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | Paid |
|---|---|---|
| Durant Hma Physician Management, LLC | Durant, OK | $6.90M |
| Midwest City Hma Physician Management, LLC | Midwest City, OK | $2.41M |
| Tullahoma Hma Physician Management, LLC | Tullahoma, TN | $2.25M |
| Chester Medical Group, LLC | Chester, SC | $960K |
| Lebanon Hma Physician Management LLC | Lebanon, TN | $190K |
| Williamson Hma Physician Management LLC | Williamson, WV | $174K |
| Kennett Hma Physician Management, LLC | Kennett, MO | $32K |
| Starke Hma Medical Group LLC | Starke, FL | $6K |
| Live Oak Hma Medical Group, LLC | Live Oak, FL | $3K |
| FT Smith Hma PBC Management, LLC | Fort Smith, AR | $2K |
| FT Smith Hma PBC Management, LLC | Spiro, OK | $865.40 |
| Punta Gorda Hma Physician Management LLC | Punta Gorda, FL | $490.68 |
| Jamestown Hma Physician Management LLC | Jamestown, TN | $373.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.