Physician
Triad Health Systems LLC
Triad Health Systems LLC was paid $1.59M by Medicaid between Mar 2021 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoTRIAD HEALTH SYSTEMS LLC
PONCA CITY, OK 74601
PONCA CITY, OK 74601
33aNPI1245867258assigned 03/27/2020
33bProvider typeFamily Medicine Physician
28Total paid$1.59M
24GClaims17,722
24DCodes billed21
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#34 of 351
Median peer was paid$153K
This provider vs. median10×
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 | 460 | $46K | |
| 2022 | 4,449 | $419K | |
| 2023 | 6,635 | $606K | |
| 2024incomplete | 6,178 | $523K |
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% | 9,743 | 8,903 | $929K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 19% | 2,107 | 2,017 | $300K |
| 99205 | Prolong outpt/office vis | 9.9% | 851 | 851 | $158K |
| 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 | 5.2% | 573 | 573 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 427 | 376 | $37K |
| 80305 | 2.0% | 2,971 | 2,670 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 364 | 335 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 138 | 132 | $5K |
| 99386 | <1% | 33 | 33 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 131 | 125 | $4K |
| 0001A | <1% | 91 | 91 | $3K | |
| 0002A | <1% | 76 | 75 | $3K |
9 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99382 | <1% | 13 | $1K | |
| 0003A | <1% | 30 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $644.32 |
| 0064A | <1% | 13 | $480.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 41 | $354.24 |
| 87807 | <1% | 20 | $233.00 | |
| 99490 | Ccm add 20min | <1% | 27 | $171.24 |
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 officialBEVERLEY, AMY (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| JM Medical | Tulsa, OK | $103K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.