Clinic
Duncan Regional Hospital, INC.
Duncan Regional Hospital, INC. was paid $599K by Medicaid between Feb 2020 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoDUNCAN REGIONAL HOSPITAL, INC.
WALTERS, OK 73572
WALTERS, OK 73572
33aNPI1144704115assigned 09/17/2018
33bProvider typeRural Health Clinic/Center
28Total paid$599K
24GClaims3,153
24DCodes billed6
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#48 of 103
Median peer was paid$511K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2020 | 260 | $38K | |
| 2021 | 395 | $83K | |
| 2022 | 887 | $175K | |
| 2023 | 1,012 | $194K | |
| 2024incomplete | 599 | $109K |
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 | 76% | 2,046 | 1,889 | $457K |
| 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 | 22% | 634 | 607 | $129K |
| 87428 | <1% | 176 | 172 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 270 | 264 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $3K |
| 87807 | <1% | 14 | 14 | $163.10 |
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 officialMILLER, KEN (CFO)
Parent organizationDUNCAN REGIONAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Duncan Regional Hospital, INC. | Duncan, OK | $4.72M |
| Texas School for the Blind | Austin, TX | $1.12M |
| Beaufort County Memorial Hospital | Bluffton, SC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.