Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

NPI: 1093199382 · MANGUM, OK 73554 · Rural Health Clinic/Center · NPI assigned 07/16/2015

$621K
Total Medicaid Paid
5,356
Total Claims
4,866
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHARTGRAVES, STEVE (PRESIDENT / CEO)
NPI Enumeration Date07/16/2015

Related Entities

Other providers sharing the same authorized official: HARTGRAVES, STEVE

ProviderCityStateTotal Paid
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $9.01M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $4.19M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.97M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.90M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY HOLLIS OK $290K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 951 $88K
2019 854 $92K
2020 631 $65K
2021 711 $86K
2022 909 $122K
2023 858 $112K
2024 442 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,603 4,149 $564K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 426 398 $39K
99173 88 88 $6K
99308 Subsequent nursing facility care, per day, straightforward 67 59 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 62 62 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $3K
96160 37 37 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 14 14 $680.65
92551 28 28 $0.00
96127 14 14 $0.00