Clinic
Main Street Family Healthcare Nurse Practitioner Clinic, LLC
Main Street Family Healthcare Nurse Practitioner Clinic, LLC was paid $795K by Medicaid between Jan 2018 and Feb 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoMAIN STREET FAMILY HEALTHCARE NURSE PRACTITIONER CLINIC, LLC
STROUD, OK 74079
STROUD, OK 74079
33aNPI1154719169assigned 12/27/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$795K
24GClaims13,367
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Oklahoma
Rank by total paid#21 of 86
Median peer was paid$175K
This provider vs. median4.5×
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 | 2,089 | $122K | |
| 2019 | 1,960 | $109K | |
| 2020 | 2,032 | $99K | |
| 2021 | 3,064 | $198K | |
| 2022 | 3,760 | $232K | |
| 2023 | 462 | $34K |
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 | 58% | 5,176 | 4,827 | $464K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,566 | 3,357 | $239K |
| 99307 | 2.7% | 1,443 | 1,430 | $21K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 461 | 458 | $10K |
| 87428 | 1.2% | 235 | 234 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 412 | 412 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 610 | 601 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 176 | 174 | $8K |
| 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% | 79 | 79 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | 42 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 179 | 179 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | 51 | $3K |
10 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 255 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | $891.09 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $635.85 |
| 96127 | <1% | 133 | $537.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 287 | $537.39 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $195.00 |
| 90686 | <1% | 70 | $20.23 | |
| 90734 | 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.
From NPPES
Who's on the registration
Authorized officialHOWARD, BRONWYN (OWNER/OPERATOR)