Physician
Carnegie Tri-County Municipal Hospital Management, INC.
Carnegie Tri-County Municipal Hospital Management, INC. was paid $397K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 99283, emergency room visit (moderate) — 40% of everything it billed.
33Billing provider infoCARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.
CARNEGIE, OK 73015
CARNEGIE, OK 73015
33aNPI1043323447assigned 08/17/2006
33bProvider typeEmergency Medicine Physician
28Total paid$397K
24GClaims6,266
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Oklahoma
Rank by total paid#31 of 81
Median peer was paid$154K
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
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 | 954 | $79K | |
| 2019 | 537 | $54K | |
| 2020 | 511 | $27K | |
| 2021 | 758 | $35K | |
| 2022 | 1,299 | $61K | |
| 2023 | 1,504 | $106K | |
| 2024incomplete | 703 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 40% | 1,126 | 1,081 | $158K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 20% | 913 | 891 | $79K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 188 | 184 | $43K |
| 86328 | 9.2% | 859 | 835 | $37K | |
| 86769 | 8.7% | 865 | 841 | $34K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 1,194 | 1,176 | $17K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.2% | 25 | 25 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 478 | 472 | $7K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.3% | 38 | 36 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 106 | 103 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 202 | 197 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | 24 | $821.60 |
9 more codes
| 80053 | Comprehensive metabolic panel | <1% | 66 | $669.27 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $663.03 |
| 87807 | <1% | 56 | $661.96 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $509.01 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 39 | $251.02 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $232.43 |
| 80305 | <1% | 13 | $129.73 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 24 | $124.78 |
| J3490 | Unclassified drugs | 0% | 12 | $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 officialDUNNING, SHANE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Carnegie Tri-County Municipal Hospital Management, INC | Carnegie, OK | $1.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.