Physician
Durant Hma Physician Management, LLC
Durant Hma Physician Management, LLC was paid $6.90M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoDURANT HMA PHYSICIAN MANAGEMENT, LLC
DURANT, OK 74701
DURANT, OK 74701
33aNPI1043361116assigned 01/16/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$6.90M
24GClaims126,112
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Oklahoma
Rank by total paid#2 of 53
Median peer was paid$26K
This provider vs. median262×
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 12+ 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 | 18,882 | $765K | |
| 2019 | 25,949 | $1.09M | |
| 2020 | 14,832 | $750K | |
| 2021 | 12,081 | $727K | |
| 2022 | 16,634 | $1.14M | |
| 2023 | 19,090 | $1.47M | |
| 2024incomplete | 18,644 | $954K |
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 | 38% | 44,259 | 41,039 | $2.65M |
| 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 | 14% | 13,723 | 12,785 | $991K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 10% | 390 | 390 | $721K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 5,762 | 5,761 | $480K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.3% | 10,407 | 5,169 | $363K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 3,111 | 3,001 | $206K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 1,531 | 1,531 | $186K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 1,448 | 1,402 | $123K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 2,900 | 2,825 | $118K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.5% | 929 | 929 | $107K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,458 | 2,430 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,531 | 1,504 | $61K |
84 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 627 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,450 | $57K |
| 62323 | <1% | 961 | $55K | |
| 76801 | <1% | 502 | $51K | |
| 99223 | Prolong inpt eval add15 m | <1% | 507 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 765 | $45K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,138 | $45K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,100 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 762 | $37K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 457 | $30K |
| 99460 | <1% | 342 | $29K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,587 | $27K |
| 59510 | <1% | 12 | $24K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,678 | $22K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 124 | $21K |
| 20610 | <1% | 613 | $20K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 488 | $19K |
| 51798 | <1% | 2,439 | $18K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 199 | $16K |
| 99221 | <1% | 296 | $15K | |
| 76830 | Ultrasound, transvaginal | <1% | 158 | $14K |
| 87428 | <1% | 188 | $14K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 43 | $11K |
| 69421 | <1% | 54 | $10K | |
| 87807 | <1% | 795 | $9K | |
| 99152 | <1% | 1,085 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 153 | $9K |
| 90670 | <1% | 920 | $8K | |
| 80305 | <1% | 590 | $6K | |
| 81025 | <1% | 657 | $5K | |
| 99462 | <1% | 109 | $4K | |
| 99406 | <1% | 334 | $4K | |
| 73560 | <1% | 173 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 433 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,019 | $4K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 542 | $3K |
| 90715 | <1% | 108 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 297 | $3K |
| 90686 | <1% | 472 | $3K | |
| 92567 | <1% | 149 | $2K | |
| 52000 | <1% | 13 | $2K | |
| 90716 | <1% | 127 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 570 | $1K |
| 90723 | <1% | 498 | $1K | |
| 90698 | <1% | 294 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 59 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 81001 | <1% | 343 | $960.00 | |
| 62321 | <1% | 12 | $951.18 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 125 | $914.61 |
| 90688 | <1% | 46 | $756.16 | |
| 81003 | <1% | 371 | $668.19 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $647.52 |
| 90648 | <1% | 542 | $626.67 | |
| 99201 | <1% | 15 | $558.83 | |
| 99218 | <1% | 20 | $558.62 | |
| 73630 | <1% | 14 | $381.57 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 494 | $361.04 |
| 90707 | <1% | 131 | $358.38 | |
| 90680 | <1% | 302 | $332.10 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 25 | $283.47 |
| 93000 | <1% | 13 | $160.09 | |
| 99307 | <1% | 14 | $152.00 | |
| 93018 | <1% | 13 | $109.24 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | $101.40 |
| 96160 | <1% | 168 | $50.98 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 29 | $43.48 |
| 81000 | <1% | 13 | $40.92 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 43 | $36.80 |
| 90685 | <1% | 109 | $1.09 | |
| 90633 | <1% | 164 | $0.96 | |
| 90681 | <1% | 144 | $0.81 | |
| 3074F | 0% | 1,322 | $0.00 | |
| 1036F | 0% | 1,611 | $0.00 | |
| 3079F | 0% | 349 | $0.00 | |
| 3008F | 0% | 2,038 | $0.00 | |
| 1034F | 0% | 122 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 1035F | 0% | 14 | $0.00 | |
| 3078F | 0% | 1,031 | $0.00 | |
| 3077F | 0% | 15 | $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 officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | Paid |
|---|---|---|
| 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.