Clinic
Oklahoma Proton Center LLC
Oklahoma Proton Center LLC was paid $4K by Medicaid between Dec 2023 and May 2024, across 2 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 70% of everything it billed.
33Billing provider infoOKLAHOMA PROTON CENTER LLC
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
33aNPI1114408762assigned 08/22/2018
33bProvider typeRadiation Oncology Clinic/Center
28Total paid$4K
24GClaims54
24DCodes billed2
24AFirst – last monthDec 2023 – May 2024
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 | |
|---|---|---|---|
| 2023 | 30 | $2K | |
| 2024incomplete | 24 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 70% | 27 | 27 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 30% | 27 | 27 | $1K |
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 officialRAUBACH, DAVID (OFFICER)