Clinic
Melton Health and Medical Services
Melton Health and Medical Services was paid $1.70M by Medicaid between Jan 2018 and Dec 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMELTON HEALTH AND MEDICAL SERVICES
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1134300049assigned 11/19/2007
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$1.70M
24GClaims20,817
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Oklahoma
Rank by total paid#2 of 8
Median peer was paid$40K
This provider vs. median42×
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 | 5,790 | $405K | |
| 2019 | 5,122 | $381K | |
| 2020 | 3,882 | $301K | |
| 2021 | 3,129 | $285K | |
| 2022 | 2,894 | $324K |
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 | 50% | 10,097 | 9,143 | $849K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 29% | 4,877 | 4,489 | $488K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 11% | 3,736 | 3,444 | $179K |
| 99205 | Prolong outpt/office vis | 6.1% | 654 | 654 | $104K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 806 | 725 | $42K |
| 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% | 100 | 100 | $14K |
| 90836 | <1% | 198 | 191 | $11K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 71 | 40 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 239 | 237 | $3K |
| 99442 | <1% | 25 | 25 | $616.85 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | 14 | $580.03 |
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 officialMELTON, EDWARD (PRESIDENT)
Parent organizationOKLAHOMA NEUROPSYCHIATRIC INSTITUTE