Managed care
Spine Care of Oklahoma, LLC
Spine Care of Oklahoma, LLC was paid $113K by Medicaid between Oct 2021 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoSPINE CARE OF OKLAHOMA, LLC
EDMOND, OK 73013
EDMOND, OK 73013
33aNPI1033302906assigned 08/23/2007
33bProvider typePreferred Provider Organization
28Total paid$113K
24GClaims2,259
24DCodes billed3
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Preferred Provider Organization providers in Oklahoma
Rank by total paid#3 of 9
Median peer was paid$73K
This provider vs. median1.5×
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
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 | |
|---|---|---|---|
| 2021 | 144 | $7K | |
| 2022 | 793 | $37K | |
| 2023 | 764 | $39K | |
| 2024incomplete | 558 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 80% | 1,570 | 1,395 | $90K |
| 99152 | 18% | 656 | 528 | $20K | |
| 99443 | 2.2% | 33 | 28 | $2K |
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 officialSHADID, EDWARD (BUSINESS OWNER)