Physician
Northern Oklahoma Regional Pediatric Clinic, PLLC
Northern Oklahoma Regional Pediatric Clinic, PLLC was paid $10.82M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoNORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
PONCA CITY, OK 74601
PONCA CITY, OK 74601
33aNPI1053486431assigned 11/21/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$10.82M
24GClaims283,897
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Oklahoma
Rank by total paid#1 of 7
Median peer was paid$1.89M
This provider vs. median5.7×
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 | 39,178 | $1.61M | |
| 2019 | 39,575 | $1.65M | |
| 2020 | 38,517 | $1.43M | |
| 2021 | 43,461 | $1.68M | |
| 2022 | 48,766 | $1.77M | |
| 2023 | 44,450 | $1.55M | |
| 2024incomplete | 29,950 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 44,950 | 41,133 | $4.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 20,885 | 19,189 | $1.44M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 11,614 | 11,610 | $1.08M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 10,267 | 10,215 | $893K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 6,513 | 6,510 | $601K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.0% | 12,668 | 12,642 | $546K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 17,753 | 17,680 | $319K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 2,407 | 2,406 | $244K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 13,172 | 12,834 | $188K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 25,134 | 24,618 | $179K |
| 87400 | 1.5% | 6,684 | 6,478 | $162K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 1,103 | 1,088 | $108K |
45 more codes
| 92551 | <1% | 10,598 | $105K | |
| 87081 | <1% | 10,460 | $64K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 472 | $63K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,236 | $61K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,630 | $55K |
| 82947 | <1% | 13,532 | $49K | |
| 81001 | <1% | 14,960 | $43K | |
| 99460 | <1% | 466 | $41K | |
| 96161 | <1% | 5,473 | $27K | |
| 99173 | <1% | 9,057 | $23K | |
| 87420 | <1% | 1,664 | $20K | |
| 83655 | <1% | 1,430 | $16K | |
| 96127 | <1% | 1,538 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 220 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 825 | $7K |
| 99462 | <1% | 66 | $3K | |
| 99050 | <1% | 125 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 31 | $2K |
| 99381 | <1% | 12 | $1K | |
| 54150 | <1% | 12 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $961.07 |
| 90671 | <1% | 616 | $712.23 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 84 | $608.16 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $282.10 |
| 96380 | <1% | 13 | $255.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $220.90 |
| 90633 | <1% | 1,856 | $186.30 | |
| 90698 | <1% | 5,990 | $100.65 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,864 | $35.00 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13 | $26.26 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 17 | $8.50 |
| 90688 | 0% | 1,400 | $0.00 | |
| 90680 | 0% | 3,632 | $0.00 | |
| 90744 | 0% | 2,424 | $0.00 | |
| 90651 | 0% | 642 | $0.00 | |
| 90716 | 0% | 64 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| 96160 | 0% | 7,994 | $0.00 | |
| 90710 | 0% | 367 | $0.00 | |
| 90670 | 0% | 5,322 | $0.00 | |
| 90734 | 0% | 298 | $0.00 | |
| 90658 | 0% | 53 | $0.00 | |
| 90707 | 0% | 78 | $0.00 | |
| 90715 | 0% | 67 | $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 officialPOLLAK, CHRIS (ADMINISTRATOR)