Clinic
Duncan Regional Hospital, INC.
Duncan Regional Hospital, INC. was paid $4.72M by Medicaid between Sep 2021 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoDUNCAN REGIONAL HOSPITAL, INC.
DUNCAN, OK 73533
DUNCAN, OK 73533
33aNPI1164963708assigned 03/15/2017
33bProvider typeRural Health Clinic/Center
28Total paid$4.72M
24GClaims27,341
24DCodes billed31
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#3 of 103
Median peer was paid$511K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2021 | 2,735 | $415K | |
| 2022 | 9,569 | $1.67M | |
| 2023 | 9,369 | $1.64M | |
| 2024incomplete | 5,668 | $995K |
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 | 52% | 12,184 | 11,254 | $2.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 6,997 | 6,685 | $1.54M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 1,038 | 1,037 | $254K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 903 | 903 | $224K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 553 | 553 | $138K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,469 | 1,443 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,030 | 1,013 | $29K |
| 87428 | <1% | 715 | 703 | $26K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 80 | 80 | $20K |
| 81003 | <1% | 291 | 279 | $4K | |
| 90474 | <1% | 242 | 232 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | 55 | $4K |
19 more codes
| 99460 | <1% | 36 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 87807 | <1% | 139 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | $724.69 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $700.68 |
| 90686 | <1% | 179 | $596.79 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $397.44 |
| 90677 | 0% | 112 | $0.00 | |
| 90680 | 0% | 89 | $0.00 | |
| 90697 | 0% | 104 | $0.00 | |
| 90647 | 0% | 161 | $0.00 | |
| 90723 | 0% | 87 | $0.00 | |
| 90698 | 0% | 13 | $0.00 | |
| 90670 | 0% | 471 | $0.00 | |
| 90710 | 0% | 67 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 90648 | 0% | 16 | $0.00 | |
| 90681 | 0% | 146 | $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 officialMILLER, KEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Texas School for the Blind | Austin, TX | $1.12M |
| Duncan Regional Hospital, INC. | Walters, OK | $599K |
| 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.