Clinic
Marshall County Hma LLC
Marshall County Hma LLC was paid $3.84M by Medicaid between Sep 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMARSHALL COUNTY HMA LLC
DURANT, OK 74701
DURANT, OK 74701
33aNPI1063910925assigned 01/25/2018
33bProvider typeRural Health Clinic/Center
28Total paid$3.84M
24GClaims27,730
24DCodes billed30
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#9 of 103
Median peer was paid$511K
This provider vs. median7.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA 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 | 155 | $4K | |
| 2019 | 382 | $12K | |
| 2020 | 713 | $26K | |
| 2021 | 1,322 | $53K | |
| 2022 | 6,006 | $895K | |
| 2023 | 11,931 | $1.84M | |
| 2024incomplete | 7,221 | $1.01M |
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 | 49% | 11,714 | 10,573 | $1.89M |
| 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 | 39% | 10,854 | 9,806 | $1.51M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 1,000 | 965 | $198K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 583 | 583 | $116K |
| 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 | 1.0% | 224 | 224 | $40K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,251 | 1,155 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109 | 106 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 92 | 92 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 27 | 27 | $5K |
| 99406 | <1% | 47 | 45 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $605.50 |
18 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 288 | $18.34 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 178 | $18.34 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 251 | $2.16 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 145 | $0.00 |
| 90697 | 0% | 76 | $0.00 | |
| 90680 | 0% | 62 | $0.00 | |
| 1036F | 0% | 116 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 80 | $0.00 |
| 3079F | 0% | 43 | $0.00 | |
| 3008F | 0% | 154 | $0.00 | |
| 90474 | 0% | 62 | $0.00 | |
| 3074F | 0% | 87 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 51 | $0.00 |
| 90710 | 0% | 15 | $0.00 | |
| 90670 | 0% | 92 | $0.00 | |
| 90671 | 0% | 43 | $0.00 | |
| 90633 | 0% | 20 | $0.00 | |
| 3078F | 0% | 38 | $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 officialLALOR, PAULA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Roswell Hospital Corporation | Roswell, NM | $41.27M |
| Wesley Health System LLC | Hattiesburg, MS | $37.82M |
| Metro Knoxville Hma LLC | Powell, TN | $28.70M |
| Bullhead City Hospital Corporation | Bullhead City, AZ | $28.54M |
| Iom Health System LP | Fort Wayne, IN | $27.50M |
| ST. Joseph Health System, LLC | Fort Wayne, IN | $25.43M |
| Laredo Texas Hospital Company LP | Laredo, TX | $19.46M |
| Oak Hill Hospital Corporation | Oak Hill, WV | $18.77M |
| Cocke County Hma, LLC | Newport, TN | $18.34M |
| Cleveland Tennessee Hospital Company LLC | Cleveland, TN | $16.31M |
| Jefferson County Hma LLC | Jefferson City, TN | $14.31M |
| Northwest Arkansas Hospitals, LLC | Springdale, AR | $11.46M |
| Petersburg Hospital Company LLC | Petersburg, VA | $11.20M |
| Campbell County Hma, LLC | Lafollette, TN | $10.07M |
| Warsaw Health System LLC | Warsaw, IN | $9.95M |
| Longview Medical Center LP | Longview, TX | $9.29M |
| Moberly Hospital Company LLC | Moberly, MO | $8.61M |
| Crestview Hospital Company, LLC | Crestview, FL | $8.15M |
| Kirksville Missouri Hospital Company, LLC | Kirksville, MO | $7.98M |
| Victoria of Texas LP | Victoria, TX | $7.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.