Clinic
Carnegie Tri-County Municipal Hospital Management, INC
Carnegie Tri-County Municipal Hospital Management, INC was paid $1.87M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoCARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC
CARNEGIE, OK 73015
CARNEGIE, OK 73015
33aNPI1275657017assigned 03/19/2007
33bProvider typeRural Health Clinic/Center
28Total paid$1.87M
24GClaims9,174
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#22 of 103
Median peer was paid$511K
This provider vs. median3.7×
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 | 449 | $18K | |
| 2019 | 852 | $56K | |
| 2020 | 777 | $48K | |
| 2021 | 1,178 | $165K | |
| 2022 | 1,860 | $589K | |
| 2023 | 2,493 | $604K | |
| 2024incomplete | 1,565 | $387K |
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 | 93% | 7,806 | 7,223 | $1.73M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.7% | 809 | 790 | $88K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 59 | 59 | $22K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 283 | 277 | $10K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 128 | 128 | $8K |
| 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 | <1% | 17 | 16 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 59 | 13 | $485.93 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | 13 | $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 officialDUNNING, SHANE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Carnegie Tri-County Municipal Hospital Management, INC. | Carnegie, OK | $397K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.