Hospital
Ahs Claremore Regional Hospital, LLC.
Ahs Claremore Regional Hospital, LLC. was paid $4.81M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.
33Billing provider infoAHS CLAREMORE REGIONAL HOSPITAL, LLC.
CLAREMORE, OK 74017
CLAREMORE, OK 74017
33aNPI1023398807assigned 08/24/2011
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.81M
24GClaims48,081
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Oklahoma
Rank by total paid#34 of 75
Median peer was paid$3.66M
This provider vs. median1.3×
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 PETROVICH, STEPHEN controls 20+ 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 | 9,925 | $893K | |
| 2019 | 5,541 | $576K | |
| 2020 | 2,558 | $305K | |
| 2021 | 5,936 | $634K | |
| 2022 | 10,745 | $967K | |
| 2023 | 10,136 | $1.05M | |
| 2024incomplete | 3,240 | $389K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 6,432 | 6,326 | $1.52M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 4,179 | 4,123 | $1.32M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 6,311 | 6,230 | $1.02M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.2% | 376 | 376 | $251K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 4.5% | 1,722 | 1,688 | $219K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.2% | 1,237 | 1,237 | $104K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.1% | 1,083 | 1,038 | $51K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 15 | 15 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,798 | 1,420 | $41K |
| 87428 | <1% | 1,219 | 1,203 | $34K | |
| 80053 | Comprehensive metabolic panel | <1% | 3,696 | 3,635 | $34K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,593 | 4,483 | $32K |
36 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,121 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,966 | $26K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 412 | $18K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,058 | $12K |
| 87081 | <1% | 989 | $8K | |
| 81001 | <1% | 1,532 | $4K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 119 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 563 | $4K |
| 87807 | <1% | 214 | $4K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 93 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 28 | $3K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 15 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | $3K |
| 87400 | <1% | 96 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 50 | $2K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 24 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 37 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 53 | $2K |
| 84112 | <1% | 15 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 78 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 242 | $1K |
| 81025 | <1% | 164 | $1K | |
| 84484 | <1% | 72 | $776.30 | |
| 83690 | <1% | 115 | $705.23 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $704.04 |
| 81003 | <1% | 285 | $533.25 | |
| 83735 | <1% | 28 | $164.20 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,048 | $132.54 |
| 85610 | <1% | 34 | $117.51 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 299 | $100.44 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 126 | $85.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 77 | $21.25 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 23 | $12.96 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 244 | $0.00 |
| A4615 | Cannula, nasal | 0% | 25 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 112 | $0.00 |
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 officialPETROVICH, STEPHEN (SVP, GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Lovelace Health System, LLC | Albuquerque, NM | $57.71M |
| Lovelace Health System LLC | Albuquerque, NM | $45.27M |
| Southwest Medical Associates, LLC | Albuquerque, NM | $41.40M |
| Lovelace Health System, LLC | Albuquerque, NM | $31.24M |
| Lovelace Health System LLC | Roswell, NM | $20.13M |
| Jacksonville Hospital LLC | Jacksonville, TX | $9.41M |
| Henderson Hospital, LLC | Henderson, TX | $8.52M |
| Athens Hospital, LLC | Athens, TX | $8.32M |
| Etmc Physician Group INC. | Tyler, TX | $8.03M |
| Tyler Regional Hospital LLC | Tyler, TX | $7.94M |
| Lovelace UNM Rehabilitation Hospital LLC | Albuquerque, NM | $6.30M |
| Pocatello Hospital LLC | Pocatello, ID | $6.11M |
| Jacksonville Hospital LLC | Jacksonville, TX | $5.93M |
| Ahs Pryor Hospital, LLC | Pryor, OK | $5.61M |
| Bsa Hospital LLC | Amarillo, TX | $4.96M |
| Pittsburg Hospital LLC | Pittsburg, TX | $4.83M |
| Ahs Henryetta Hospital LLC | Henryetta, OK | $4.27M |
| Pittsburg Hospital LLC | Pittsburg, TX | $3.98M |
| Topeka Hospital, LLC | Topeka, KS | $3.94M |
| Ahs Pryor Hospital, LLC | Pryor, OK | $3.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.