NP / PA
The Downtown Clinic
The Downtown Clinic was paid $389K by Medicaid between Jan 2018 and Apr 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoTHE DOWNTOWN CLINIC
SHAWNEE, OK 74801
SHAWNEE, OK 74801
33aNPI1124362173assigned 11/15/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$389K
24GClaims5,284
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Oklahoma
Rank by total paid#18 of 74
Median peer was paid$109K
This provider vs. median3.6×
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 | 801 | $50K | |
| 2019 | 917 | $60K | |
| 2020 | 739 | $47K | |
| 2021 | 917 | $73K | |
| 2022 | 900 | $80K | |
| 2023 | 851 | $66K | |
| 2024incomplete | 159 | $12K |
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 | 45% | 2,567 | 2,428 | $176K |
| 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 | 38% | 1,500 | 1,407 | $146K |
| 99442 | 8.3% | 434 | 412 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 310 | 296 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 114 | 114 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 169 | 167 | $3K |
| 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% | 14 | 14 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | 65 | $2K |
| 99441 | <1% | 32 | 30 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | 26 | $881.26 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | 27 | $494.86 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $168.00 |
1 more codes
| 90686 | 0% | 13 | $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 officialSPEIGHT, KENDRA (APRN-CNP)