Physician
John W. Holden, M.D., P.C.
John W. Holden, M.D., P.C. was paid $207K by Medicaid between Oct 2021 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoJOHN W. HOLDEN, M.D., P.C.
PONCA CITY, OK 74601
PONCA CITY, OK 74601
33aNPI1235438219assigned 03/16/2011
33bProvider typeInternal Medicine Physician
28Total paid$207K
24GClaims4,826
24DCodes billed18
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Oklahoma
Rank by total paid#30 of 108
Median peer was paid$75K
This provider vs. median2.8×
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 | 332 | $15K | |
| 2022 | 1,938 | $79K | |
| 2023 | 1,461 | $63K | |
| 2024incomplete | 1,095 | $50K |
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 | 81% | 2,722 | 2,507 | $169K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 512 | 505 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.5% | 246 | 246 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 89 | 89 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 440 | 440 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 281 | 274 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 26 | 26 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $1K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 37 | 37 | $955.59 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | 23 | $323.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | 17 | $242.86 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 143 | 143 | $150.30 |
6 more codes
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 officialHOLDEN, JOHN (OWNER/ PHYSICIAN)