Ahs Pryor Hospital, LLC
Ahs Pryor Hospital, LLC was paid $3.76M by Medicaid between Aug 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
PRYOR, OK 74361
Next to other Clinic/Center providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,364 | $160K | |
| 2020 | 193 | $2K | |
| 2021 | 2,409 | $106K | |
| 2022 | 9,965 | $1.25M | |
| 2023 | 8,733 | $1.33M | |
| 2024incomplete | 7,160 | $913K |
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 | 53% | 10,569 | 9,567 | $1.99M |
| 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 | 31% | 7,024 | 6,465 | $1.17M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 790 | 735 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 637 | 637 | $136K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 439 | 439 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 268 | 268 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 3,193 | 3,176 | $45K |
| 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 | 1.1% | 210 | 210 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,524 | 1,521 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,024 | 978 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,570 | 1,468 | $7K |
| 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% | 12 | 12 | $3K |
27 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 75 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | $1K |
| 90474 | <1% | 133 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 637 | $980.78 |
| 3008F | <1% | 810 | $234.75 | |
| 90620 | <1% | 14 | $187.77 | |
| 3074F | <1% | 249 | $151.71 | |
| 99307 | <1% | 13 | $119.56 | |
| 87428 | <1% | 80 | $73.49 | |
| 90686 | <1% | 589 | $41.86 | |
| 87400 | <1% | 288 | $25.14 | |
| 36416 | <1% | 78 | $2.67 | |
| 90651 | <1% | 77 | $0.01 | |
| 90680 | 0% | 157 | $0.00 | |
| 90698 | 0% | 124 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90677 | 0% | 63 | $0.00 | |
| 87807 | 0% | 115 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90670 | 0% | 477 | $0.00 | |
| 90633 | 0% | 131 | $0.00 | |
| 90648 | 0% | 47 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 90734 | 0% | 58 | $0.00 | |
| 3078F | 0% | 182 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 80305 | 0% | 15 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lovelace Health System, LLC | Albuquerque, NM | $57.71M |
| Lovelace Health System LLC | Albuquerque, NM | $45.27M |
| Southwest Medical Associates, LLC | Albuquerque, NM | $41.40M |
| Lovelace Health System, LLC | Albuquerque, NM | $31.24M |
| Lovelace Health System LLC | Roswell, NM | $20.13M |
| Jacksonville Hospital LLC | Jacksonville, TX | $9.41M |
| Henderson Hospital, LLC | Henderson, TX | $8.52M |
| Athens Hospital, LLC | Athens, TX | $8.32M |
| Etmc Physician Group INC. | Tyler, TX | $8.03M |
| Tyler Regional Hospital LLC | Tyler, TX | $7.94M |
| Lovelace Unm Rehabilitation Hospital LLC | Albuquerque, NM | $6.30M |
| Pocatello Hospital LLC | Pocatello, ID | $6.11M |
| Jacksonville Hospital LLC | Jacksonville, TX | $5.93M |
| Ahs Pryor Hospital, LLC | Pryor, OK | $5.61M |
| Bsa Hospital LLC | Amarillo, TX | $4.96M |
| Pittsburg Hospital LLC | Pittsburg, TX | $4.83M |
| Ahs Claremore Regional Hospital, LLC. | Claremore, OK | $4.81M |
| Ahs Henryetta Hospital LLC | Henryetta, OK | $4.27M |
| Pittsburg Hospital LLC | Pittsburg, TX | $3.98M |
| Topeka Hospital, LLC | Topeka, KS | $3.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.